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Donnelly, Sarah. "72 Adult Safeguarding, Abuse of Vulnerable Adults and Mandatory Reporting: A Rapid Realist Review of the Literature." Age and Ageing 48, Supplement_3 (September 2019): iii17—iii65. http://dx.doi.org/10.1093/ageing/afz103.39.
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Abstract Background The continuing evolution of adult safeguarding legislation, policy and practice in relation to the abuse of vulnerable adults reflects a growing awareness of the nature and extent of such abuse in Ireland. The Adult Safeguarding Bill, 2017 represents a progressive step in safeguarding older people and vulnerable adults. The intention of the Bill is to put in place additional protections for adults, in particular, for those who may be unable to protect themselves, such as older people or those lacking capacity. Part 3 provides for mandatory reporting by specified/named persons/professionals. This paper sets out to critically analyse the concept of mandatory reporting within adult safeguarding using international comparators as case studies. Methods A rapid realist review of adult safeguarding reporting typologies and systems in five key jurisdictions: Australia, Canada, England, Northern Ireland and Scotland, were explored to answer the question: ‘what works, for whom and in what circumstances?’ [1] Results Jurisdictions differ as to who the mandated reporters are, the scope and powers of mandatory reporting, and the types of abuse subject to reporting. Of significance is that the debate on mandatory reporting has increasingly focused on institutional settings, rather than more broadly across services. Key concepts identified are those of protection, empowerment and proportionality. Adult safeguarding legislation must therefore ensure that interventionist and compulsory measures to protect do not excessively restrict the rights of the individual. Conclusion Mandatory reporting may offer professionals increased powers to prevent and reduce the abuse of adults and older people, but this could also change the dynamic of relationships within families, and between families and professionals. Ultimately, the success of any legal approach will rest with professional judgment in balancing autonomy with protection.
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McTavish, Jill R., Melissa Kimber, Karen Devries, Manuela Colombini, Jennifer C. D. MacGregor, C. Nadine Wathen, Arnav Agarwal, and Harriet L. MacMillan. "Mandated reporters’ experiences with reporting child maltreatment: a meta-synthesis of qualitative studies." BMJ Open 7, no. 10 (October 2017): e013942. http://dx.doi.org/10.1136/bmjopen-2016-013942.
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ObjectiveTo systematically search for research about the effectiveness of mandatory reporting of child maltreatment and to synthesise qualitative research that explores mandated reporters’ (MRs) experiences with reporting.DesignAs no studies assessing the effectiveness of mandatory reporting were retrieved from our systematic search, we conducted a meta-synthesis of retrieved qualitative research. Searches in Medline (Ovid), Embase, PsycINFO, Cumulative Index to Nursing and Allied Health Literature, Sociological Abstracts, Education Resources Information Center, Criminal Justice Abstracts and Cochrane Library yielded over 6000 citations, which were deduplicated and then screened by two independent reviewers. English-language, primary qualitative studies that investigated MRs’ experiences with reporting of child maltreatment were included. Critical appraisal involved a modified checklist from the Critical Appraisal Skills Programme and qualitative meta-synthesis was used to combine results from the primary studies.SettingAll healthcare and social-service settings implicated by mandatory reporting laws were included. Included studies crossed nine high-income countries (USA, Australia, Sweden, Taiwan, Canada, Norway, Finland, Israel and Cyprus) and three middle-income countries (South Africa, Brazil and El Salvador). Participants: The studies represent the views of 1088 MRs.OutcomesFactors that influence MRs’ decision to report and MRs’ views towards and experiences with mandatory reporting of child maltreatment.ResultsForty-four articles reporting 42 studies were included. Findings indicate that MRs struggle to identify and respond to less overt forms of child maltreatment. While some articles (14%) described positive experiences MRs had with the reporting process, negative experiences were reported in 73% of articles and included accounts of harm to therapeutic relationships and child death following removal from their family of origin.ConclusionsThe findings of this meta-synthesis suggest that there are many potentially harmful experiences associated with mandatory reporting and that research on the effectiveness of this process is urgently needed.
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Slattery, Martha L., Sandra L. Edwards, and Bette Caan. "Low-Energy Reporters: Evaluation of Potential Differential Reporting in Case-Control Studies." Nutrition and Cancer 42, no. 2 (March 2002): 173–79. http://dx.doi.org/10.1207/s15327914nc422_4.
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Moffatt, Jennifer J., and Diann S. Eley. "The reported benefits of telehealth for rural Australians." Australian Health Review 34, no. 3 (2010): 276. http://dx.doi.org/10.1071/ah09794.
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Objective.A literature review was conducted to identify the reported benefits attributed to telehealth for people living and professionals working in rural and remote areas of Australia. Data sources.Scopus and relevant journals and websites were searched using the terms: telemedicine, telehealth, telepsychiatry, teledermatology, teleradiology, Australia, and each state and territory. Publications since 1998 were included. Study selection.The initial search resulted in 176 articles, which was reduced to 143 when research reporting on Australian rural, regional or remote populations was selected. Data synthesis.A narrative review was conducted using an existing ‘benefits’ framework. Patients are reported to have benefited from: lower costs and reduced inconvenience while accessing specialist health services; improved access to services and improved quality of clinical services. Health professionals are reported to have benefited from: access to continuing education and professional development; provision of enhanced local services; experiential learning, networking and collaboration. Discussion.Rural Australians have reportedly benefited from telehealth. The reported improved access and quality of clinical care available to rural Australians through telemedicine and telehealth may contribute to decreasing the urban–rural health disparities. The reported professional development opportunities and support from specialists through the use of telehealth may contribute to improved rural medical workforce recruitment and retention. What is known about the topic?An extensive international literature has reported on the efficacy of telehealth, and to a lesser extent the clinical outcomes and cost-effectiveness of telemedicine. Systematic reviews conclude that the quality of the studies preclude definitive conclusions being drawn about clinical and cost-effectiveness, although there is some evidence of effective clinical outcomes and the potential for cost-benefits. Little attention has been paid to the benefits reported for people who live in rural and remote Australia, despite this being a rationale for the use of telehealth in rural and remote locations. What does this paper add?Patients in rural and remote locations in Australia are reported to benefit from telehealth by increased access to health services and up-skilled health professionals. Health professionals are reported to benefit from telehealth by up-skilling from increased contact with specialists and increased access to professional development. The review findings suggest that one strategy, the increased use of telehealth, has the potential to reduce the inequitable access to health services and the poorer health status that many rural Australians experience, and contribute to addressing the on-going problem of the recruitment and retention of the rural health workforce. What are the implications for practitioners?The use of telehealth appears to be a path to up-skilling for rural and remote practitioners.
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Mathews, Ben, Leah Bromfield, and Kerryann Walsh. "Comparing Reports of Child Sexual and Physical Abuse Using Child Welfare Agency Data in Two Jurisdictions with Different Mandatory Reporting Laws." Social Sciences 9, no. 5 (May 11, 2020): 75. http://dx.doi.org/10.3390/socsci9050075.
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Empirical analysis has found that mandatory reporting legislation has positive effects on case identification of child sexual abuse both initially and over the long term. However, there is little analysis of the initial and ongoing impact on child protection systems of the rate of reports that are made if a reporting duty for child sexual abuse is introduced, especially when compared with rates of reports for other kinds of child maltreatment. This research analysed government administrative data at the unique child level over a seven-year period to examine trends in reports of child sexual abuse, compared with child physical abuse, in two Australian states having different socio-legal dimensions. Data mining generated descriptive statistics and rates per 100,000 children involved in reports per annum, and time trend sequences in the seven-year period. The first state, Western Australia, introduced the legislative reporting duty in the middle of the seven-year period, and only for sexual abuse. The second state, Victoria, had possessed mandatory reporting duties for both sexual and physical abuse for over a decade. Our analysis identified substantial intra-state increases in the reporting of child sexual abuse attributable to the introduction of a new legislative reporting duty, and heightened public awareness resulting from major social events. Victoria experienced nearly three times as many reports of physical abuse as Western Australia. The relative burden on the child protection system was most clearly different in Victoria, where reports of physical abuse were relatively stable and two and a half times higher than for sexual abuse. Rates of children in reports, even at their single year peak, indicate sustainable levels of reporting for child welfare agencies. Substantial proportions of reports were made by both legislatively mandated reporters, and non-mandated community members, suggesting that government agencies would benefit from engaging with communities and professions to enhance a desirable reporting practice.
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Webb, R. K., M. Currie, C. A. Morgan, J. A. Williamson, P. Mackay, W. J. Russell, and W. B. Runciman. "The Australian Incident Monitoring Study: An Analysis of 2000 Incident Reports." Anaesthesia and Intensive Care 21, no. 5 (October 1993): 520–28. http://dx.doi.org/10.1177/0310057x9302100507.
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The Australian Patient Safety Foundation was formed in 1987; it was decided to set up and co-ordinate the Australian Incident Monitoring Study as a function of this Foundation; 90 hospitals and practices joined the study. Participating anaesthetists were invited to report, on an anonymous and voluntary basis, any unintended incident which reduced, or could have reduced, the safety margin for a patient. Any incident could be reported, not only those which were deemed “preventable” or were thought to involve human error. The Mark I AIMS form was developed which incorporated features and concepts from several other studies. All the incidents in this symposium were reported using this form, which contains general instructions to the reporter, key words and space for a narrative of the incident, structured sections for what happened (with subsections for circuitry incidents, circuitry involved, equipment involved, pharmacological incidents and airway incidents), why it happened (with subsections for factors contributing to the incident, factors minimising the incident and suggested corrective strategies), the type of anaesthesia and procedure, monitors in use, when and where the incident happened, the experience of the personnel involved, patient age and a classification of patient outcome. Enrolment, reporting and data-handling procedures are described. Data on patient outcome are presented; this is correlated with the stages at which the incident occurred and with the ASA status of the patients. The locations at which the incidents occurred and the types of procedures, the sets of incidents analysed in detail and a breakdown of the incidents due to drugs are also presented. The pattern and relative frequencies of the various categories of incidents are similar to those in “closed-claims” studies, suggesting that AIMS should provide information of relevance to those wishing to develop strategies to reduce the incidence and/or impact of incidents and accidents.
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Zuckerman, Diana. "Hype in Health Reporting: “Checkbook Science” Buys Distortion of Medical News." International Journal of Health Services 33, no. 2 (April 2003): 383–89. http://dx.doi.org/10.2190/pmm9-dput-hn3y-lmjq.
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The greatest danger to public health might be “checkbook science”: research intended not to expand knowledge or to benefit humanity but to sell products. Much of the media coverage of health news stories is based on public relations efforts on behalf of the companies that sell the products, including pharmaceutical companies, diet clinics, or doctors selling new techniques. The author presents three case studies of how companies selling medical products effectively but invisibly shaped recent news coverage of medical products: fen-phen diet pills, breast implants, and hormone replacement therapy. All involve subtle strategies whereby physicians and other experts paid by corporate interests are influential because they are perceived to be objective medical experts. Articles in prestigious medical journals are sometimes ghostwritten by individuals paid by companies or are based on biased analyses or interpretations shaped by corporate interests. Nonprofit organizations that tout the benefits of specific medical products also may be part of the public relations efforts of the companies making the product. Meanwhile, important newsworthy studies are ignored by the mass media when corporate interests do not publicize or pitch the results to influential reporters and producers.
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Belair-Gagnon, Valerie, Smeeta Mishra, and Colin Agur. "Reconstructing the Indian public sphere: Newswork and social media in the Delhi gang rape case." Journalism 15, no. 8 (December 19, 2013): 1059–75. http://dx.doi.org/10.1177/1464884913513430.
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In recent years, a growing literature in journalism studies has discussed the increasing importance of social media in European and American news production. Adding to this body of work, we explore how Indian and foreign correspondents reporting from India used social media during the coverage of the Delhi gang rape; how journalists represented the public sphere in their social media usage; and, what this representation says about the future of India’s public sphere. Throughout our analysis, Manuel Castells’ discussion of ‘space of flows’ informs our examination of journalists’ social media uses. Our article reveals that while the coverage of the Delhi gang rape highlights an emerging, participatory nature of storytelling by journalists, this new-found inclusiveness remains exclusive to the urban, educated, connected middle and upper classes. We also find that today in India, social media usage is rearticulated around pre-existing journalistic practices and norms common to both Indian reporters working for English-language media houses and foreign correspondents stationed in India.
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de Silva, Andrea M., Jacqueline M. Martin-Kerry, Katherine McKee, and Deborah Cole. "Caries and periodontal disease in Indigenous adults in Australia: a case of limited and non-contemporary data." Australian Health Review 41, no. 4 (2017): 469. http://dx.doi.org/10.1071/ah15229.
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Objective The aim of the present study was to identify all evidence about the prevalence and severity of clinically measured caries and periodontal disease in Indigenous adults in Australia published in peer-reviewed journals and to summarise trends over time. In addition, we examined whether the studies investigated associations between putative risk factors and levels of caries and periodontal disease. Methods PubMed was searched in September 2014, with no date limitations, for published peer-reviewed articles reporting the prevalence rates and/or severity of caries and periodontal disease in Indigenous adults living in Australia. Articles were excluded if measurement was not based on clinical assessment and if oral disease was reported only in a specific or targeted sample, and not the general population. Results The search identified 18 papers (reporting on 10 primary studies) that met the inclusion criteria. The studies published clinical data about dental caries and/or periodontal disease in Australian Indigenous adults. The studies reported on oral health for Indigenous adults living in rural (40%), urban (10%) and both urban and rural (50%) locations. Included studies showed that virtually all Indigenous adults living in rural locations had periodontal disease. The data also showed caries prevalence ranged from 46% to 93%. Although 10 studies were identified, the peer-reviewed literature was extremely limited and no published studies were identified that provided statistics for a significant proportion of Australia (Victoria, Tasmania, Queensland or the Australian Capital Territory). There were also inconsistencies in how the data were reported between studies, making comparisons difficult. Conclusions This review highlights a lack of robust and contemporary data to inform the development of policies and programs to address the disparities in oral health in Indigenous populations living in many parts of Australia. What is known about the topic? Many studies report that Indigenous people in Australia have poorer general health compared with non-Indigenous people. What does this paper add? This paper documents the available caries and periodontal disease prevalence and experience for Indigenous adults in Australia published in peer-reviewed journals. It demonstrates significant limitations in the data, including no data in several large Australian jurisdictions, inconsistency with reporting methods and most data available being for Indigenous adults living in rural locations. Therefore, the oral health data available in the peer-reviewed literature do not reflect the situation of all Indigenous people living in Australia. What are the implications for practitioners? It is important for oral health practitioners to have access to current and relevant statistics on the oral health of Indigenous Australians. However, we have highlighted significant evidence gaps for this population group within the peer-reviewed literature and identified the limitations of the available data upon which decisions are currently being made. This paper also identifies ways to capture and report oral health data in the future to enable more meaningful comparisons and relevance for use in policy development.
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Gunst, Andrew. "Carbon pollution (greenhouse gas) measurement and reporting." APPEA Journal 50, no. 1 (2010): 649. http://dx.doi.org/10.1071/aj09042.
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Carbon reporting and emissions trading in Australia—both of which, in 2007, seemed unlikely—came into effect with the implementation of mandatory data reporting from July 2008 (Australia) and January 2010 (USA); the onus lies with emitting corporations to determine whether they must report. At the time of writing it is also likely that Australia and the USA will join Europe in placing a price on carbon by 2013. The background to the Australian regulations will be explored in this paper, along with comparisons made to regulations in other jurisdictions, including the new reporting scheme in the USA. To date, much of the public discussion in these countries has centred on the financial aspects of a carbon tax or emissions trading scheme; however, significant challenges exist in identifying and quantifying the emissions that the financial community seeks to trade, and business community understanding of the details of greenhouse emissions is not strong. Case studies from the Australian oil and gas and related industries will be used to explain counter-intuitive aspects of greenhouse gas emissions and their regulation, and to illustrate challenges in emissions measurement and reporting.
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Narayan, Sujita W., Kar Yu Ho, Jonathan Penm, Barbara Mintzes, Ardalan Mirzaei, Carl Schneider, and Asad E. Patanwala. "Missing data reporting in clinical pharmacy research." American Journal of Health-System Pharmacy 76, no. 24 (December 2, 2019): 2048–52. http://dx.doi.org/10.1093/ajhp/zxz245.
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Abstract Purpose This study aimed to document the ways by which missing data were handled in clinical pharmacy research to provide an insight into the amount of attention paid to the importance of missing data in this field of research. Methods Our cross-sectional descriptive report evaluated 10 journals affiliated with pharmacy organizations in the United States, Canada, the United Kingdom, and Australia. Randomized controlled trials, cohort studies, case-control studies, and cross-sectional studies published in 2018 were included. The primary outcome measure was the proportion of studies that reported the handling of missing data in their methods or results. Results A total of 178 studies were included in the analysis. Of these, 19.7% (n = 35) mentioned missing data either in their methods (3.4%, n = 6), results (15.2%, n = 27), or in both sections (1.1%, n = 2). Only 4.5% (n = 8) of the studies mentioned how they handled missing data, the most common method being multiple imputation (n = 3), followed by indicator (n = 2), complete case analysis (n = 2), and simple imputation (n = 1). One study using multiple imputation and both studies using an indicator method also combined other strategies to account for missing data. One study only used complete case analysis for subgroup analysis, and the other study only used this method if a specific baseline variable was missing. Conclusions Very few studies in clinical pharmacy literature report any handling of missing data. This has the potential to lead to biased results. We advocate that researchers should report how missing data were handled to increase the transparency of findings and minimize bias.
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Revier, Kevin. "“Once again, a meth lab exploded and somebody died”: Narratives of volatility and risk in the rural drug war." Crime, Media, Culture: An International Journal 14, no. 3 (August 3, 2017): 467–84. http://dx.doi.org/10.1177/1741659017721592.
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Methamphetamine (“meth”) has received a massive amount of media attention in the United States over the last decade. In reporting, journalists, politicians, and police commonly link meth to widespread risk, violence, criminality, and rural decay. Although the rise in meth use, addiction, and crime has been largely overstated, such imagery legitimizes an expansion of surveillance and policing to rural landscapes. In this research, I examine the way meth and meth makers are represented in case coverage of a meth lab fire sited in upstate New York. I find that reporters narrate a more general meth lab “social problem formula story” with caricature villains (meth makers), victims (community members), and heroes (law enforcement and legislators). Significantly, this model of storytelling conveys a distorted and exaggerated understanding of meth as a social problem, turning the atypical meth lab case into the “typical,” while legitimizing law and order solutions. In contributing to the contemporary “methamphetamine imaginary,” this formula story forgoes a structural analysis that considers the prevailing global drug war, rural poverty, or broader capital inequality.
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Chubb, Philip, and Chris Nash. "The Politics of Reporting Climate Change at the Australian Broadcasting Corporation." Media International Australia 144, no. 1 (August 2012): 37–48. http://dx.doi.org/10.1177/1329878x1214400107.
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This article examines a particular moment in journalism at the Australian Broadcasting Corporation, with the aim of elucidating the link between public-sector journalism and political controversy in the recent Australian response to climate change. The particular moment in question involved the reporting of visits to Australia in early 2010 by two international commentators on anthropogenic climate change, Christopher Monckton and James Hansen, and an unprecedented attack by the chairman of the ABC on the professional performance of ABC journalists in reporting on this issue. We use this case study to canvass the explanatory merits of several scholarly perspectives on journalistic bias: the well-known ‘balance as bias’ argument by the Boykoffs (2004), the less well-known but incisive ‘independence/ impartiality couplet’ argument by Stuart Hall (1976) and Bourdieusian field analysis.
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Marck, Claudia H., George A. Jelinek, Sandra L. Neate, Bernadine M. Dwyer, Bernadette B. Hickey, and Tracey J. Weiland. "Resource barriers to the facilitation of organ and tissue donation reported by Australian emergency clinicians." Australian Health Review 37, no. 1 (2013): 60. http://dx.doi.org/10.1071/ah11121.
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Objective. To explore emergency department clinicians’ perceived resource barriers to facilitating organ and tissue donation (OTD). Methods. A cross-sectional national online survey of Australian emergency department (ED) clinicians. Results. ED clinicians reported a range of resource barriers that hinder the facilitation of OTD, most notably a lack of time to discuss OTD with a patient’s family (74.6%). Those reporting more resource barriers had been less involved in OTD-related tasks. For example, those reporting a lack of time to assess a patient’s suitability to be a potential donor had less experience with OTD-related tasks in the last calendar year than did those who reported that they often or always have enough time for this (P < 0.01). In addition, ED clinicians working in DonateLife network hospitals were more involved in OTD-related tasks (P < 0.01) and reported fewer resource shortages in the ED and the hospital overall. Conclusions. Resource shortages hinder the facilitation of OTD in the ED and are related to decreased involvement in OTD-related tasks. In addition, ED clinicians working in DonateLife hospitals are more involved in OTD-related tasks and report fewer resource shortages overall. Addressing resource shortages and extending the DonateLife network could benefit OTD rates initiated from the ED. What is known about the topic? Increasing the rate of organ and tissue donation (OTD) has become progressively more urgent as waiting lists for organs and tissues are growing globally. Recently a missed potential donor pool was recognised in emergency departments (EDs) and the Organ and Tissue Authority implemented a ‘clinical trigger’ tool to aid with the identification of potential donors in EDs. However, many Australian studies have reported worsening ED overcrowding and resource shortages in recent years with an adverse effect on patient care and satisfaction as well as on ED clinicians’ work-related stress and satisfaction. International literature has identified that certain resource barriers hinder the facilitation of organ and tissue in EDs. However, there is currently no literature available on how resource barriers in Australian EDs affect the facilitation of OTD. What does this paper add? Our study shows that Australian ED clinicians perceive a range of resource barriers that hinder the facilitation of OTD, most notably a lack of time to discuss OTD with a patient’s family or to identify potential donors. We also found that those reporting more resource barriers had been less involved in OTD-related tasks in the last calendar year. In addition, those that work in hospitals that are part of the DonateLife network, and thus have dedicated staff available for OTD-related tasks, were more involved in OTD-related tasks and reported fewer resource shortages in the ED and the hospital overall. What are the implications for practitioners? To maximize the number of potential donors recognised and referred from the ED, it may be important to decrease the resource barriers identified in this study. Notably, the presence of specialist OTD staff, a function of being part of a DonateLife network hospital, may result in a decreased perception of resource barriers in the ED and more engagement with OTD-related tasks by ED clinicians.
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Fujita, Shigeru, Kanako Seto, Yosuke Hatakeyama, Ryo Onishi, Kunichika Matsumoto, Yoji Nagai, Shuhei Iida, et al. "Patient safety management systems and activities related to promoting voluntary in-hospital reporting and mandatory national-level reporting for patient safety issues: A cross-sectional study." PLOS ONE 16, no. 7 (July 28, 2021): e0255329. http://dx.doi.org/10.1371/journal.pone.0255329.
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Both voluntary in-hospital reporting and mandatory national-level reporting systems for patient safety issues need to work well to develop a patient safety learning system that is effective in preventing the recurrence of adverse events. Some of the hospital systems and activities may increase voluntary in-hospital reporting and mandatory national-level reporting. This study aimed to identify the hospital systems and activities that increase voluntary in-hospital reporting and mandatory national-level reporting for patient safety issues. An anonymous mail survey of hospitals in Japan was conducted in 2017. The hospitals were selected by stratified random sampling according to number of beds. The survey examined the annual number of reported events in the voluntary in-hospital reporting system for patient safety and experience of reporting unexpected patient deaths possibly due to medical interventions to the mandatory national-level reporting system in the last 2 years. The relationship of the answer to the questions with the patient safety management systems and activities at each hospital was analyzed. The response rate was 18.8% (603/3,215). The number of in-hospital reports per bed was positively related to identifying events by referring complaints or questions of patients or family members, using root cause analysis for analyzing reported events, and developing manuals or case studies based on reported events, and negatively related to the unification and standardization of medical devices and equipment. The experience with mandatory national-level reporting of serious adverse events was positively related to identifying problematic cases by a person in charge of patient safety management from the in-hospital reporting system of complications and accidental symptoms. Enhanced feedback for reporters may promote voluntary in-hospital reporting of minor cases with low litigation risks. Developing an in-hospital mechanism that examines all serious complications and accidental symptoms may promote mandatory national-level reporting of serious adverse events with high litigation risks.
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Murrell, Colleen. "Reporting Asia: Courtesy of Australian philanthropy." Australian Journalism Review 43, no. 1 (June 1, 2021): 43–61. http://dx.doi.org/10.1386/ajr_00056_1.
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The sudden entrance onto the Australian media scene three years ago of a philanthropist bearing AUD 100 million was an innovative fillip for an embattled industry. The Judith Neilson Institute for Journalism and Ideas (JNI) has since announced some bold initiatives to strengthen reporting, including of international newsgathering in the Asia Pacific region. The JNI has enabled The Australian Financial Review to reopen its Jakarta bureau, Guardian Australia to hire a Pacific editor and develop a network of Pacific journalists, and The Australian to produce features on the Chinese diaspora. COVID-19 has caused significant challenges, but results indicate they have been successful in what they set out to achieve ‐ to carry out more international newsgathering from Asia. Other criteria, such as ‘the impact’ of this reporting, are harder to gauge. This article employs qualitative interviewing and content analysis to examine if these three case studies have been successful, according to the ‘five core principles’ of the JNI.
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Fahrni, Mathumalar Loganathan, Kamaliah Md Saman, Ali Saleh Alkhoshaiban, Faiza Naimat, Farzan Ramzan, and Khairil Anuar Md Isa. "Patient-reported outcome measures to detect intentional, mixed, or unintentional non-adherence to medication: a systematic review." BMJ Open 12, no. 9 (September 2022): e057868. http://dx.doi.org/10.1136/bmjopen-2021-057868.
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ObjectiveTo categorise patient-reported outcome measures (PROMs) into their propensity to detect intentional and/or unintentional non-adherence to medication, and synthesise their psychometric properties.DesignSystematic review and regression analysis.EligibilityMedication adherence levels studied at primary, secondary and tertiary care settings. Self-reported measures with scoring methods were included. Studies without proxy measures were excluded.Data sourcesUsing detailed searches with key concepts including questionnaires, reliability and validity, and restricted to English, MEDLINE, EMBASE, CINAHL, International Pharmaceutical Abstracts, and Cochrane Library were searched until 01 March 2022. Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 (PRISMA-2020) checklist was used.Data analysisRisk of bias was assessed via COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN-2018) guidelines. Narrative synthesis aided by graphical figures and statistical analyses.Outcome measuresProcess domains [behaviour (e.g., self-efficacy), barrier (e.g., impaired dexterity) or belief (e.g., perception)], and overall outcome domains of either intentional (I), unintentional (UI), or mixed non-adherence.ResultsPaper summarises evidence from 59 studies of PROMs, validated among patients aged 18–88 years in America, the United Kingdom, Europe, Middle East, and Australasia. PROMs detected outcome domains: intentional non-adherence, n=44 (I=491 criterion items), mixed intentionality, n=13 (I=79/UI=50), and unintentional, n=2 (UI=5). Process domains detected include belief (383 criterion items), barrier (192) and behaviour (165). Criterion validity assessment used proxy measures (biomarkers, e-monitors), and scoring was ordinal, dichotomised, or used Visual Analogue Scale. Heterogeneity was revealed across psychometric properties (consistency, construct, reliability, discrimination ability). Intentionality correlated positively with negative beliefs (r(57)=0.88) and barriers (r(57)=0.59). For every belief or barrier criterion-item, PROMs’ aptitude to detect intentional non-adherence increased by β=0.79 and β=0.34 units, respectively (R2=0.94). Primary care versus specialised care predicted intentional non-adherence (OR 1.9; CI 1.01 to 2.66).ConclusionsTen PROMs had adequate psychometric properties. Of the ten, eight PROMs were able to detect total, and two PROMs were able to detect partial intentionality to medication default. Fortification of patients’ knowledge and illness perception, as opposed to daily reminders alone, is most imperative at primary care levels.
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Werner, Tim, Peter Bach, Mohan Yellishetty, Fatemeh Amirpoorsaeed, Stuart Walsh, Alec Miller, Matthew Roach, et al. "A Geospatial Database for Effective Mine Rehabilitation in Australia." Minerals 10, no. 9 (August 22, 2020): 745. http://dx.doi.org/10.3390/min10090745.
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The Australian landscape is affected by abandoned mines that pose environmental, public health and safety risks. To promote the beneficial reuse, rehabilitation and/or remediation of these sites and understand their spatial arrangement, we compiled, classified and analysed a country-wide geospatial database of all known inactive hard rock mine sites. Following extensive review and classification of disparate records of such sites that have been terminated, neglected or classified as heritage, plus those under care and maintenance in Australia, we assessed state-by-state reporting and cross-border rehabilitation requirements. This was enabled by the development of the Mining Incidence Documentation & Assessment Scheme (MIDAS) that can be used to catalogue and compare active or inactive mine data regardless of reporting conventions. At a national level, and with four case studies, we performed GIS-based spatial analyses and environmental risk assessments to demonstrate potential uses of our database. Analyses considered the proximity of sites to factors such as infrastructure and sensitive environmental receptors. As Australia struggles to manage the ongoing technical, socioeconomic and environmental challenges of effective mine rehabilitation, the insights enabled by this national-level spatial database may be key to developing coordinated responses that extend beyond state boundaries. Our classification and methodology are easily transferable, thereby encouraging more formalized, systematic and widespread documentation of abandoned mines worldwide.
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Brookes, Stephanie. "‘Join us for all the developments’: Guardian Australia and the construction of journalistic identity in press gallery reporting." Media International Australia 167, no. 1 (April 13, 2018): 105–20. http://dx.doi.org/10.1177/1329878x18766079.
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The Federal Parliamentary Press Gallery has traditionally held a privileged position in Australian journalism, entrusted with two important democratic functions: providing citizens with political information and scrutinising the powerful. In the last decade, however, significant changes in the global media landscape have impacted the health of Australian political journalism and new spaces for news and information have emerged that challenge the Press Gallery’s authority. This article considers how a new entrant, Guardian Australia, operates in this space through analysis of its explicit discursive construction of its own role, authority and performance. It then maps how these discourses are mobilised in political coverage through a case study exploring the publication’s 2016 and 2017 federal budget coverage. The article argues that Guardian Australia’s self-construction allowed its press gallery and political journalists to reclaim their authoritative democratic role, in the face of competition and change, by embracing both tradition and innovation in its political journalism.
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Laing, Gregory Kenneth, and Kenneth Thomas Laing. "The Relevance of International Financial Reporting Standards for Small and Medium-sized Entities: An Australian Case Study." International Journal of Accounting and Financial Reporting 2, no. 1 (February 28, 2012): 75. http://dx.doi.org/10.5296/ijafr.v2i1.1276.
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The purpose of this paper is to examine the relevance of imposing a set of accounting standards on Small and Medium-sized entities. This paper involves a multiple case study approach based on an examination from personnel experiences of owning and operating Small and Medium-sized Entities in Australia over a period of 50 years. The key finding from the case studies is that SME’s are strongly influenced by the prevailing taxation regulations rather than any form of accounting standard requirements. The cost of meeting the financial reporting requirements is a burden that SME’s are ill prepared to bear and such costs are not justified by any claim to being useful for the owners or other possible stakeholders. Further, the issues of comparability and consistency have yet to be shown as providing a benefit to any stakeholder.This paper provides an opportunity for greater debate and research into the financial reporting requirements for SME’s.
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Ananthapavan, Jaithri, Marj Moodie, Andrew J. Milat, and Rob Carter. "Systematic Review to Update ‘Value of a Statistical Life’ Estimates for Australia." International Journal of Environmental Research and Public Health 18, no. 11 (June 7, 2021): 6168. http://dx.doi.org/10.3390/ijerph18116168.
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The value of a statistical life (VSL) estimates individuals’ willingness to trade wealth for mortality risk reduction. This economic parameter is often a major component of the quantified benefits estimated in the evaluation of government policies related to health and safety. This study reviewed the literature to update the VSL recommended for Australian policy appraisals. A systematic literature review was conducted to capture Australian primary studies and international review papers reporting VSL estimates published from 2007 to January 2019. International estimates were adjusted for income differences and the median VSL estimate was extracted from each review study. VSL estimates were used to calculate the value of a statistical life year. Of the 18 studies that met the inclusion criteria, two studies were primary Australian studies with a weighted mean VSL of A$7.0 million in 2017 values. The median VSL in the review studies was A$7.3 million. For Australian public policy appraisals, we recommend the consideration of a base case VSL for people of all ages and across all risk contexts of A$7.0 million. Sensitivity analyses could use a high value of A$7.3 million and a low value that reflects the value (A$4.3 million) currently recommended by the Australian government.
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Caple, Helen, Kate Greenwood, and Catharine Lumby. "What League? The Representation of Female Athletes in Australian Television Sports Coverage." Media International Australia 140, no. 1 (August 2011): 137–46. http://dx.doi.org/10.1177/1329878x1114000117.
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This article explores why women's sport in Australia still struggles to attract sponsorship and mainstream media coverage despite evidence of high levels of participation and on-field successes. Data are drawn from the largest study of Australian print and television coverage of female athletes undertaken to date in Australia, as well as from a case study examining television coverage of the success of the Matildas, the Australian women's national football team, in winning the Asian Football Confederation (AFC) Women's Asian Cup in 2010. This win was not only the highest ever accolade for any Australian national football team (male or female), but also guaranteed the Matildas a place in the 2011 FIFA Women's World Cup in Germany [where they reached the quarter-finals]. Given the close association between success on the field, sponsorship and television exposure, this article focuses specifically on television reporting. We present evidence of the starkly disproportionate amounts of coverage across this section of the news media, and explore the circular link between media coverage, sponsorship and the profile of women's sport.
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Signal, Tania, Nik Taylor, Karena J. Burke, and Luke Brownlow. "Double Jeopardy: Insurance, Animal Harm, and Domestic Violence." Violence Against Women 24, no. 6 (June 14, 2017): 718–26. http://dx.doi.org/10.1177/1077801217711266.
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Although the role of companion animals within the dynamic of domestic violence (DV) is increasingly recognized, the overlap of animal harm and insurance discrimination for victims/survivors of DV has not been considered. Prompted by a case study presented in a National Link Coalition LINK-Letter, this research note examines “Pet Insurance” policies available in Australia and whether nonaccidental injury caused by an intimate partner would be covered. We discuss the implications of exclusion criteria for victims/survivors of DV, shelters providing places for animals within a DV dynamic, and, more broadly, for cross- or mandatory-reporting (of animal harm) initiatives.
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Oommen, Roney, and Pieter Buys. "The role of management accounting in fraud control: The case of the City of Joondalup." Risk Governance and Control: Financial Markets and Institutions 5, no. 4 (2015): 213–22. http://dx.doi.org/10.22495/rgcv5i4c1art10.
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The 2014 ‘Report to the Nations on Occupational Fraud and Abuse’ released by the Association of Certified Fraud Examiners estimates that the potential projected losses from occupational fraud globally could run as high as US$3.7 trillion every year. In Australia, several studies have found that the Australian public sector entities are also significantly exposed to fraud. This article considers the case of the Australian City of Joondalup and asks whether its management accounting function can provide city management with the necessary data to enable effective control over occupational fraud and whether fraud control activities specifically directed towards fraud control can be a regular feature thereof. It is concluded that although aspects of fraud control are encompassed within the broader strategies of the City, it can significantly enhance its ability to control occupational fraud by leveraging its regular management reporting and analysis function.
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Krakoff, Isabel. "Performativity in Politics: Understanding the Role of Affect in Political News Coverage." International Conference on Gender Research 5, no. 1 (April 13, 2022): pp114–122. http://dx.doi.org/10.34190/icgr.5.1.82.
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The United States Democratic primaries for the 2020 election kicked off with an incredibly diverse pool of candidates with regards to gender, race, age, and socioeconomic status. However, as the primaries progressed and the pool of candidates narrowed, voters elected to nominate Joe Biden—a white man in his late seventies—to take on Donald Trump in November, 2020. Given the similarity between Elizabeth Warren’s platform and Bernie Sanders’, the purpose of this paper is to explore how news-media coverage contributes to the role of gender in campaigns for president in the United States. Grounded in a theoretical understanding of gender performativity in politics, this study uses a quantitative sentiment analysis of newspaper articles about both candidates to understand whether reporters expressed underlying sentiments differing based on the candidates’ gender. Articles were selected from The New York Times (NYT), The Washington Post (WaPo), National Public Radio (NPR), The Associated Press (AP), and the Wall Street Journal (WSJ) to represent the diversity of reputable, mainstream news outlets considered to have minimal partisan bias available to the American public. Though the sentiment analysis revealed no significant difference in reporting across the different sources by candidate, factors such as rules for news publications and the nuances in political orientation of the two candidates may have limited the role of sentiment in contributing to political gender bias in this case study. This research is of broad interest as it sheds light on the current gendered political landscape in the United States, where a female president has yet to be elected. Furthermore, this study explores the within-party gender dynamics in reporting, in contrast to the myriad studies published in the aftermath of the 2016 presidential election in which Hillary Clinton lost to Donald Trump.
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Lee, Kristenbella AYR, Joanna E. Harnett, Carolina Oi Lam Ung, and Betty Chaar. "Impact of Up-Scheduling Medicines on Pharmacy Personnel, Using Codeine as an Example, with Possible Adaption to Complementary Medicines: A Scoping Review." Pharmacy 8, no. 2 (April 15, 2020): 65. http://dx.doi.org/10.3390/pharmacy8020065.
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Within Australia, vitamins, minerals, nutritional supplements, essential oils, and homoeopathic and herbal preparations are collectively termed and regulated as Complementary Medicines (CMs) by the Australian Therapeutic Goods Administration (TGA). CMs are predominantly self-selected through a pharmacy, providing pharmacy personnel an opportunity to engage with the public about their CM use. CMs are currently non-scheduled products in Australia. This review aimed to summarize the literature reporting the potential effect on pharmacies if scheduling of CMs was adopted, using codeine as an example. A scoping review methodology was employed. Seven databases were searched to identify four key concepts, including: CMs, scheduling and rescheduling, codeine, and pharmacists. Seven studies were included for analysis. The majority of the literature has explored qualitative studies on the perception and opinion of pharmacists in relation to the up-scheduling of codeine. The case of codeine illustrates the possible impact of up-scheduling. If CMs were to be up-scheduled, the accessibility of CMs would be limited to the pharmacy providing a role for pharmacy personnel, including both pharmacists and pharmacy technicians, to counsel on CM use. However, careful collaboration and consideration on how such a regulatory change would impact other key-stakeholders, including CM practitioners, requires both a strategic and collaborative approach.
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Hasnain, Ambrin, Amanda E. Krause, John Hajek, Anya Lloyd-Smith, and Laura Lori. "Broadcasting during COVID-19: Community language radio and listener well-being." Radio Journal:International Studies in Broadcast & Audio Media 20, no. 2 (October 1, 2022): 227–47. http://dx.doi.org/10.1386/rjao_00061_1.
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Community language radio is known to provide information and social connection for community members. This article examines the role of community language radio in Australia during the COVID-19 global pandemic. Drawing on data from interviews with four presenters at a community language radio station in Melbourne, this case study explores the station’s operation during the pandemic and presenter perceptions of the station’s contributions to supporting listeners’ well-being. To situate our study more globally, the case study was preceded by an examination of press reporting on the role of radio during the pandemic. Overall, our findings indicate that community language radio has played a vital role in promoting listener well-being by communicating information about COVID-19 and by providing a sense of comfort, entertainment and companionship through regular broadcasting. Results are discussed considering crisis communication and resilience theory to highlight the vital role community language radio plays for migrant communities during crises.
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Sanchez Lozano, Jorge, Giovanni Romero Bustamante, Riley Chad Hales, E. James Nelson, Gustavious P. Williams, Daniel P. Ames, and Norman L. Jones. "A Streamflow Bias Correction and Performance Evaluation Web Application for GEOGloWS ECMWF Streamflow Services." Hydrology 8, no. 2 (April 25, 2021): 71. http://dx.doi.org/10.3390/hydrology8020071.
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We present the development and testing of a web application called the historical validation tool (HVT) that processes and visualizes observed and simulated historical stream discharge data from the global GEOGloWS ECMWF streamflow services (GESS), performs seasonally adjusted bias correction, computes goodness-of-fit metrics, and performs forward bias correction on subsequent forecasts. The HVT corrects GESS output at a local scale using a technique that identifies and corrects model bias using observed hydrological data that are accessed using web services. HVT evaluates the performance of the GESS historic simulation data and provides more accurate historic simulation and bias-corrected forecast data. The HVT also allows users of the GEOGloWS historical streamflow data to use local observed data to both validate and improve the accuracy of local streamflow predictions. We developed the HVT using Tethys Platform, an open-source web application development framework. HVT presents data visualization using web mapping services and data plotting in the web map interface while functions related to bias correction, metrics reporting, and data generation for statistical analysis are computed by the back end. We present five case studies using the HVT in Australia, Brazil, Colombia, the Dominican Republic, and Peru. In these case studies, in addition to presenting the application, we evaluate the accuracy of the method we implemented in the HVT for bias correction. These case studies show that the HVT bias correction in Brazil, Colombia, and Peru results in significant improvement in historic simulation across the countries, while bias correction only resulted in marginal historic simulation improvements in Australia and the Dominican Republic. The HVT web application allows users to use local data to adjust global historical simulation and forecasts and validate the results, making the GESS modeling results more useful at a local scale.
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Ferson, Mark J., Keira Morgan, Peter W. Robertson, Alan W. Hampson, Ian Carter, and William D. Rawlinson. "Concurrent Summer Influenza and Pertussis Outbreaks in a Nursing Home in Sydney, Australia." Infection Control & Hospital Epidemiology 25, no. 11 (November 2004): 962–66. http://dx.doi.org/10.1086/502327.
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AbstractObjective:To report on the investigation of a summer outbreak of acute respiratory illness among residents of a Sydney nursing home.Design:An epidemiologic and microbiological investigation of the resident cohort at the time of the outbreak and medical record review 5 months later.Setting:A nursing home located in Sydney, Australia, during February to July 1999.Patients:The cohort of residents present in the nursing home at the time of the outbreak.Interventions:Public health interventions included recommendations regarding hygiene, cohorting of residents and staff, closure to further admissions, and prompt reporting of illness; and virologic and serologic studies of residents.Results:Of the 69 residents (mean age, 85.1 years), 35 fulfilled the case definition of acute respiratory illness. Influenza A infection was confirmed in 19 residents, and phylogenetic analysis of the resulting isolate, designated H3N2 A/Sydney/203/99, showed that it differed from strains isolated in eastern Australia during the same period. Serologic evidence ofBordetellainfection was also found in 10 residents; however, stratified epidemiologic analysis pointed to influenza A as the cause of illness.Conclusions:The investigation revealed an unusual summer outbreak of influenza A concurrent with subclinical pertussis infection. Surveillance of acute respiratory illness in nursing homes throughout the year, rather than solely during epidemic periods, in combination with appropriate public health laboratory support, would allow initiation of a timely public health response to outbreaks of acute respiratory illness in this setting.
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Mendes, Philip, Marcia Pinskier, Samone McCurdy, and Rachel Averbukh. "Ultra-orthodox Jewish communities and child sexual abuse: A case study of the Australian Royal Commission and its implications for faith-based communities." Children Australia 45, no. 1 (December 12, 2019): 14–20. http://dx.doi.org/10.1017/cha.2019.44.
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AbstractTo date, little is known about manifestations of child sexual abuse (CSA) within ultra-orthodox Jewish communities both in Australia and abroad. There is a paucity of empirical studies on the prevalence of CSA within Jewish communities, and little information on the responses of Jewish community organisations, or the experiences of Jewish CSA survivors and their families. This paper draws on a case study of two ultra-orthodox Jewish organisations from the recent Australian Royal Commission into Institutional Responses to Child Sexual Abuse to examine the religious and cultural factors that may inform Jewish communal responses to CSA. Attention is drawn to factors that render ultra-orthodox communities vulnerable to large-scale CSA, religious laws and beliefs that may influence the reporting of abuse to secular authorities, and the communal structures that may lead to victims rather than offenders being subjected to personal attacks and exclusion from the community. Commonalities are identified between ultra-orthodox Jews and other faith-based communities, and reforms suggested to improve child safety across religious groups.
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Thanh Le, Tu, and Georgia Warren-Myers. "An examination of sustainability reporting in valuation practice." Property Management 37, no. 1 (February 18, 2019): 136–53. http://dx.doi.org/10.1108/pm-02-2018-0016.
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PurposeThe importance of sustainability in the property industry is well recognised, and many studies have proved the existence of sustainability premiums in real estate markets. Valuers play the most pivotal role in reflecting the market, however despite the efforts of both academic and professional bodies to improve valuer knowledge and perceptions of sustainability there remains significant limitation of consideration of sustainability in valuation within the profession. The purpose of this paper is to investigate valuation practice through examining institutional grade commercial valuers’ approaches and consideration of sustainability in valuation.Design/methodology/approachThis research used a case study approach and interviewed institutional grade commercial valuers in Melbourne, Australia, exploring their consideration of sustainability in their valuation reports for commercial properties. A semi-structured interview technique was utilised with responses using qualitative content analysis that investigated the processes used, knowledge and incorporation of sustainability in valuation practice.FindingsThe study has found substantial limitations in the incorporation of sustainability in property valuation in Melbourne’s real estate market, comprising valuers’ limited knowledge, reluctance to consider sustainability in the valuation process, poor verification or investigation of sustainability considerations, client instructions did not direct valuers to consider sustainability, lack of data and limited tools for detailed analysis.Research limitations/implicationsAlthough a small sample, the data redundancy found in this research suggests a level of consensus on certain aspects of practice within the sector in Melbourne. This corroborates similar findings from a large-scale study of valuers and property professionals in Europe and the UK (Michlet al.2016).Practical implicationsThere is urgent need for more education and direction in the consideration and incorporation of sustainability in valuation for valuers. Enhancing the enforcement of guidelines from professional bodies is also crucial in order to deepen the analysis of sustainability in property valuation.Originality/valueThe research has provided an in-depth perspective of valuation practice in the commercial sector, that identifies and expands on the barriers in regard to limited incorporation of sustainability in property valuation reports, physical reporting, comparative analysis and depth of discussion. Further, it highlights the limited consideration of guidance notes in regard to sustainability from professional bodies.
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Peterson, David, Tracey Clark, Richard Sprod, Trudi Verrall, Louise English, and Amanda Thomson. "Bloody Good! The Impact of eLearning on Medical and Nursing Practice." International Journal of Advanced Corporate Learning (iJAC) 10, no. 2 (November 9, 2017): 75. http://dx.doi.org/10.3991/ijac.v10i2.7349.
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<p class="Abstract">Blood transfusion is a commonly-performed medical procedure that improves and saves the lives of patients. However, this procedure also has significant risks, is sometimes used inappropriately and has substantial costs associated with the collection, testing, processing and distribution of blood and blood products.</p><p class="Abstract">BloodSafe eLearning Australia (BEA) (<a href="/index.php/i-jac/author/saveSubmit/www.bloodsafelearning.org.au">www.bloodsafelearning.org.au</a>) is an education program for Australian doctors, nurses and midwives, designed to improve the safety and quality of clinical transfusion practice. Courses are interactive and include case studies, videos, and best-practice tips. Successful completion of a multiple-choice assessment provides learners with a certificate of completion. To date there are more than 400,000 registered learners, from more than 1500 organisations, who have completed more than 765,000 courses.</p><p class="Abstract">Stakeholder feedback shows that the program: provides credible, consistent education across Australia; is cost effective; reduces duplication; is ‘best-practice’ elearning that is readily accessible; allows institutions to focus on practical aspects of transfusion education; results in change to clinical practice; and supports the broader implementation of a blood management strategy in Australia.</p><p class="Abstract">User evaluation shows that the courses have a positive impact, with 89% of respondents stating they had gained additional knowledge of transfusion practice, processes and/or policy and more than 87% reporting they will make, or have made, changes to their work practices which will improve patient safety and outcomes.</p>The BloodSafe eLearning Australia program provides education to a large number of health professionals across Australia. Evaluation demonstrates that these courses provide users with a consistent and reliable knowledge base that translates into changes to practice and improved patient outcomes.
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Lidberg, Johan. "Australian media coverage of two pivotal climate change summits: A comparative study between COP15 and COP21." Pacific Journalism Review : Te Koakoa 24, no. 1 (July 17, 2018): 70–86. http://dx.doi.org/10.24135/pjr.v24i1.405.
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From an international perspective Australia’s ‘climate change wars’ can be challenging to grasp (Chubb, 2014). Part of the explanation to the protracted divisions on meaningful action on climate change can be found in media coverage of the issue. This makes Australia an interesting case study from an international and journalism studies perspective.This article compares the coverage in two major Australian newspapers of the two pivotal climate change summits in Copenhagen in 2009 and in Paris 2015. The primary research question was: in what way, if any, has the reporting of two major international climate change meetings in The Sydney Morning Herald and the Daily Telegraph changed over time? The project used a mixed methods approach drawing on longitudinal content analysis data and interviews conducted with senior Australian journalists. The approach generated rich data allowing for a discussion using the ‘wicked policy problem’ framework (Head & Alford, 2013).
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Carcach, Carlos, Robert Goldney, Peter Grabosky, and Heather Strang. "Temporal Clustering of Child Homicide: Contagion or Illusion?" Australian & New Zealand Journal of Criminology 34, no. 2 (August 2001): 182–92. http://dx.doi.org/10.1177/000486580103400206.
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Data available on the characteristics of all Australian homicides over ten years since mid 1989 provide an opportunity to investigate whether child homicide is subject to temporal clustering. If this were found to be the case, then contagion resulting from media publicity might be a possible explanation. This follows from studies indicating some influence from media publicity given to suicides. No temporal clustering could be detected and results indicate that any given child homicide in Australia has no effect on the subsequent rate of child homicides. The study suggests that caution is needed before assuming that proximate events are necessarily related. It remains a possibility that child homicide may be the product of contagion over a longer time frame, as a consequence of intense media publicity given to high profile events. The media should respect community sensibilities in reporting such events and avoid sensational coverage in an ethical and balanced way.
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Bhatt, Payal Harshad, and Jayalakshmy Ramachandran. "Extent of environmental disclosures - a case of sensitive industries in Singapore and Malaysia." Corporate Ownership and Control 7, no. 4 (2010): 170–82. http://dx.doi.org/10.22495/cocv7i4c1p2.
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The purpose of this comparative study is to examine the extent to which information is available to stakeholders on the environmental issues from the annual reports of listed companies in Singapore and Malaysia focusing on Sectors (Construction and manufacturing) that are environmentally sensitive. Many studies in the past had tried to capture the relationship between environmental reporting against financial performances, management motives and effects on share prices of the companies operating in respective countries. This study is striving to capture the extent of information on environmental aspects available to stakeholders in Malaysia and Singapore focusing only on Sectors (Construction and manufacturing) that are environmentally sensitive. The researchers used cross sectional content analysis based on the annual reports of companies listed in the Construction and manufacturing/ industrial sector for the year 2007. The companies were selected from Stock Exchange of Singapore (SGX) and Bursa Malaysia (KLSE). A framework developed by Adams & Frost (2007) identified seven parameters to perform content analysis and observed performance related disclosure among organizations in Australia against organizations in the U.K. This study also used similar framework with addition of just one more parameter. It was found that the extent of information disclosed by organizations in Singapore for both construction and Manufacturing /Industrial sector is lower compared to organizations in Malaysia in both the sectors. This alerts the analysts that while talking about green accounting, one could walk the talk better by disclosing more information and making environmental issues or concerns more transparent.
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Robinson, David, Merrie-Ellen Gunning, Tim Evans, Lisa Hall, Baskaran Sundaram, Anthony Swirepik, Andrew Stacey, Rodney Dann, and Kate Holland. "Geological and bioregional assessments – enabling future tight, shale and deep coal gas development – Cooper Basin case study." APPEA Journal 59, no. 2 (2019): 946. http://dx.doi.org/10.1071/aj18165.
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The Australian Government’s Geological and Bioregional Assessment (GBA) Program is a series of independent scientific studies conducted by Geoscience Australia and CSIRO, supported by the Bureau of Meteorology and managed by the Department of the Environment and Energy. These studies focus on the Cooper, Isa and Beetaloo GBA regions, all of which include basins which are prospective, but under-explored, for shale, tight and/or deep coal gas. The GBA Program seeks to expedite development in order to bring new gas resources to the east coast gas market within the next 5–10 years through increased understanding of the potential environmental impacts posed by gas development and increasing the efficiency of assessment, monitoring and ongoing regulation, including improved data capture and reporting. This multi-agency program addresses the potential environmental impacts of gas development through geological and environmental baseline assessments and identification of major information gaps (Stage 2), followed by an analysis of the potential impacts on assets, including groundwater, surface water, environmental and cultural assets as well as Commonwealth and State matters of environmental significance (Stage 3). This paper will discuss how integrated conceptual models of the geology and hydrogeology of selected unconventional petroleum resources can be utilised by industry, regulators and other stakeholders. By establishing a baseline assessment for the Cooper Basin, which includes an integrated shale, tight and deep coal prospectivity and groundwater study, future development scenarios can be envisaged and the potential impact on groundwater and other resources contemplated. Similar baseline assessments and conceptual models are being developed for the Isa and Beetaloo GBA regions.
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Fehlberg, Trafford, John Rose, Glenn Douglas Guest, and David Watters. "The surgical burden of disease and perioperative mortality in patients admitted to hospitals in Victoria, Australia: a population-level observational study." BMJ Open 9, no. 5 (May 17, 2019): e028671. http://dx.doi.org/10.1136/bmjopen-2018-028671.
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ObjectivesComprehensive reporting of surgical disease burden and outcomes are vital components of resilient health systems but remain under-reported. The primary objective was to identify the Victorian surgical burden of disease necessitating treatment in a hospital or day centre, including a thorough epidemiology of surgical procedures and their respective perioperative mortality rates (POMR).DesignRetrospective population-level observational study.SettingThe study was conducted in Victoria, Australia. Access to data from the Victorian Admitted Episodes Dataset was obtained using the Dr Foster Quality Investigator tool. The study included public and private facilities, including day-case facilities.ParticipantsFrom January 2014 to December 2016, all admissions with an International Statistical Classification of Diseases-10 code matched to the Global Health Estimates (GHE) disease categories were included.Primary and secondary outcome measuresAdmissions were assigned a primary disease category according to the 23 GHE disease categories. Surgical procedures during hospitalisations were identified using the Australian Refined Diagnosis Related Groups (AR-DRG). POMR were calculated for GHE disease categories and AR-DRG procedures.ResultsA total of 4 865 226 admitted episodes were identified over the 3-year period. 1 715 862 (35.3%) of these required a surgical procedure. The mortality rate for those undergoing a procedure was 0.42%, and 1.47% for those without. The top five procedures performed per GHE category were lens procedures (162 835 cases, POMR 0.001%), caesarean delivery (76 032 cases, POMR 0.01%), abortion with operating room procedure (65 451 cases, POMR 0%), hernia procedures (52 499 cases, POMR 0.05%) and other knee procedures (47 181 cases, POMR 0.004%).ConclusionsConditions requiring surgery were responsible for 35.3% of the hospital admitted disease burden in Victoria, a rate higher than previously published from Sweden, New Zealand and the USA. POMR is comparable to other studies reporting individual procedures and conditions, but has been reported comprehensively across all GHE disease categories for the first time.
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Kannan, Ashwini, Maggie Kirkman, Rasa Ruseckaite, and Sue M. Evans. "Prostate care and prostate cancer from the perspectives of undiagnosed men: a systematic review of qualitative research." BMJ Open 9, no. 1 (January 2019): e022842. http://dx.doi.org/10.1136/bmjopen-2018-022842.
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ObjectivesTo summarise and evaluate evidence from men who had not been diagnosed with prostate cancer about their perspectives on prostate care and prostate cancer.DesignA systematic review of qualitative research, on the perspectives of non-cancerous men regarding prostate cancer prevention and care.SettingA wide range of settings including primary and secondary care.ParticipantsMen from varied demographic backgrounds ranging between 40 to 80 years of age.Data sourcesThree databases (Ovid MEDLINE, Informit, PsychInfo) and Google Scholar were searched for peer-reviewed papers in English reporting research using qualitative methods (in-depth or semistructured interviews and focus groups).Review methodsThematic analysis using inductive and deductive codes. Thematic synthesis was achieved through iterative open, axial and thematic coding.ResultsEight papers (reporting seven studies conducted in Australia, UK and Germany) met inclusion criteria. Four major themes were identified: understanding prostate cancer, masculinity and prostate cancer, barriers to prostate healthcare and managing prostate health. It was reported that men often did not understand screening, prostate anatomy or their prostate cancer risk, and that concerns about masculinity could deter men from seeking health checks. There was evidence of a need to improve doctor–patient communication about case finding.ConclusionFurther investigation is required to identify and understand any differences in the perspectives and experiences of men who have not been diagnosed with prostate cancer in metropolitan and regional areas, especially where there may be variations in access to healthcare
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Marotta, Phillip L. "A Systematic Review of Behavioral Health Interventions for Sex Offenders With Intellectual Disabilities." Sexual Abuse 29, no. 2 (August 2, 2016): 148–85. http://dx.doi.org/10.1177/1079063215569546.
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This article reviews evaluation studies of programs designed to treat sex offenders with intellectual and developmental disabilities (IDD) published in peer-reviewed journals between 1994 and 2014. The design of this study is mirrored after PRISMA (Preferred Reporting of Items for Systematic Reviews and Meta-Analyses) recommendations for conducting a systematic literature review. The study design, study setting, characteristics of participants, type of treatment, and intervention procedures comprise areas of focus for evaluating the implementation of treatment programs. Therapeutic outcomes include changes in attitudes consistent with sex offending, victim empathy, sexual knowledge, cognitive distortions, and problem sexual behaviors. Eighteen treatment evaluation studies were identified from the United States, the United Kingdom, Australia, and New Zealand. Cognitive-behavioral treatments were the most commonly delivered treatment modality to sex offenders with IDD. Other less common treatments were dialectical behavioral therapy, problem solving therapy, mindfulness, and relapse prevention. No randomized controlled trials were identified. The most common designs were multiple case studies and pre- and post-treatment assessments with no control and repeated measures follow-up. Small sample sizes, no control groups, and wide variation in treatment length and follow-up time complicate the qualitative synthesis of study findings. Short follow-up times introduce the potential for bias in conclusions surrounding treatment efficacy for many of the studies reviewed in this analysis. The overall quality of studies examining treatments for sex offenders with IDD is poor and requires further development before rendering firm conclusions about the effectiveness of interventions for this population.
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Askew, Philip, Vikrant Mulgund, Leesa Tan, and Robin Wright. "Bringing to life line-of-sight for major accident prevention." APPEA Journal 52, no. 2 (2012): 641. http://dx.doi.org/10.1071/aj11055.
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The process safety of exploration and production has evolved since Piper Alpha with safety cases, hazard identification studies (HAZIDs) in design and, more recently, Bow-Ties becoming industry norm; however, recent incidents such as Texas City, Macondo, Varanus Island and Montara have shown industry and regulators from the UK, Australia and beyond that complacency cannot be allowed. The industry has been acting on process safety, but it has struggled to bring it to life in daily operations. Missed warning signals, poor change management, failure to follow procedures, capability issues and lack of communication have been preventable factors in these incidents. Recent efforts in Australia, using the line-of-sight methodology, are advancing process safety by bringing to life major accident prevention. The methodology focuses organisations on systematic management of preventative barriers to accidents and can be applied to all elements of the value chain. The methodology involves: conducting analysis of safety cases; assessing performance standards and safety to identify critical preventative barriers; developing measures and assigning accountabilities to monitor barrier effectiveness; and, developing tracking and reporting systems to provide visibility across operations management. A case study about an Australian operator has shown benefits in improved safety and operational performance. This is done by focusing the operators on critical barriers (as well as their normal daily jobs), better visibility on the state of operations and hence allowing a proactive approach to managing process safety. The system is in its infancy, but it is being improved to support line-of-sight becoming a standard tool across the industry.
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Hamdan, Sara Z., Hamdan Zaki Hamdan, Mustafa Nimieri, and Ishag Adam. "The Association between Helicobacter Pylori Infection and Iron Deficiency Anemia in Children: A Systematic Review and Meta-Analysis." Journal of Pediatric Infectious Diseases 17, no. 02 (March 2022): 059–70. http://dx.doi.org/10.1055/s-0042-1743502.
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Abstract Objectives This study, comprising a systematic review and meta-analysis, was conducted to assess the association between Helicobacter pylori infection and the risk of iron deficiency anemia (IDA) in children. Methods We followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Relevant published studies were searched in the databases. Retrieved studies were assessed for quality using the Modified Newcastle-Ottawa Scale for quality assessment. The “meta” package of statistical software “R 4.0.3 was used for statistical analysis. Results Overall, 22 eligible studies (eight cross-sectional, six randomized control trials, five case-control, two surveys, and one cohort), including nine (40.9%) from Asia, four (18.1%) from America, four (18.1%) from Africa, four (18.1%) from Europe, and one (4.5%) from Australia with a total of 3,434 cases and 4,455 controls were included in this systematic review and meta-analysis. We found that H. pylori infection was associated with a high risk of IDA (odds ratio 1.70, 95% confidence interval 1.21 − 2.38) in a random-effects model. Meta-regression analysis showed that none of the investigated factors that may affect the prevalence of IDA reached statistical significance. There was statistically significant difference between results when studies were categorized according to the methods used to diagnose H. pylori and level of incomes based on World Bank classification. The GRADEpro Guideline Development Tool evidence for the risk of IDA was of a “moderate certainty.” Conclusions This meta-analysis with a “moderate certainty” of evidence showed an association between H. pylori infection and a high risk of developing IDA in children.
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Saha, Sumanta, and Sujata Saha. "Underreporting of treatment outcomes in hospitalized COVID-19 infected diabetes patients: a systematic review, meta-analysis, and meta-regression." Journal of Ideas in Health 4, no. 4 (November 23, 2021): 573–80. http://dx.doi.org/10.47108/jidhealth.vol4.iss4.168.
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Background: Prolonged inpatient care requirements and time constraints of research and researchers lead to the non-reporting of the treatment outcome of certain COVID-19 infected diabetes patients in published manuscripts. This study aims to quantify its global burden.
Methods: A search for citations addressing the above outcome ensued chiefly in the PubMed, Embase, and Scopus databases, irrespective of the publication date and geographical region. Recruited studies were critically appraised with the National Heart, Lung, and Blood Institute's tool. Using the random-effects meta-analysis with an exact binomial method and Freeman-Tukey double arcsine transformation, the overall and subgroup-wise weighted pooled prevalence of the missing treatment outcome data was determined. The heterogeneity and publication bias assessment utilized I2 and Chi2 statistics, and funnel plot, and Egger's test, respectively.
Results: Ten publications (primarily case series; 70.0%) included in this review sourced data from 6687 COVID-19 infected inpatient diabetes patients from Asia, Australia, Europe, and North America. The global pooled prevalence of missing treatment outcome data among these patients was 33.0% (95% CI: 15.0-53.0%; I2: 99.53%; P of Chi2: <0.001). It was highest in Europe (63%; 95% CI: 61.0-66.0%). Publication bias assessment was not suggestive of any small study effect.
Conclusion: A considerable proportion of crucial prognosis information of hospitalized COVID-19 patients with diabetes goes underreported. It increases the risk of biasing the contemporary COVID-19-diabetes literature. The reporting of these data in the post-publication era or postponing the primary publication until the availability of all patients' treatment outcome data, when feasible, is recommended to address this enigma.
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Muldoon, Deirdre, Laura Meyer, Jenna Cortese, and Rebecca Zaleski. "A Literature Review: Evidence Base in Speech-Language Pathology for the Management of Pediatric Oral Phase Dysphagia." Perspectives of the ASHA Special Interest Groups 6, no. 2 (April 28, 2021): 444–53. http://dx.doi.org/10.1044/2021_persp-19-00080.
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Purpose A review was conducted of published literature regarding management of feeding difficulties at the oral phase of feeding in children with autism spectrum disorder and/or developmental disability. The articles selected were open access or free for speech-language pathologist (SLP) members of their professional bodies. The specific research question was: What research and evidence-based practice articles have been published in the SLP literature to assist SLPs in the implementation of evidence-based practice for children with challenges during the oral phase dysphagia? Method Initial inclusion criteria were articles published in English, published in SLP journals, discussed management of behavioral feeding difficulties and oral phase dysphagia, and were published between 2008 and 2018. Exclusion criteria for this review included articles that addressed dysphagia for participants who were medically fragile, used pharmacological intervention, or studies that included adults. A comprehensive search was conducted of ASHAWire, the Speech-Language and Audiology Canada website, the Royal College of Speech and Language Therapy of the United Kingdom and the website Speech Pathology Australia. Articles were analyzed using Preferred Reporting Items for Systematic Review and using a modified feasibility, appropriateness, meaningfulness, effectiveness framework for qualitative case studies. Interrater reliability was calculated using intraclass correlation coefficient across four raters. Results All but one of the articles included for this review were qualitative articles containing descriptions of strategies or case studies (e.g., food chaining), were not peer reviewed, but did constitute evidence-based practice as outlined by American Speech-Language-Hearing Association (i.e., were either Level III or Level IV evidence-based strategies or intervention models). Conclusion The review highlighted the need for additional research in SLP designed to answer questions about the management of functional skills in feeding and eating for the population of children with autism spectrum disorder and developmental disability, patients who are increasingly on caseloads of SLPs.
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O'Dea, Molly, Amy Cosby, Jaime Manning, Nicole McDonald, and Bobby Harreveld. "Industry perspectives of industry school partnerships: What can agriculture learn?" Australian and International Journal of Rural Education 32, no. 3 (November 18, 2022): 1–21. http://dx.doi.org/10.47381/aijre.v32i3.334.
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This paper aims to identify and synthesise research related to industry perspectives of industry school partnerships (ISPs) with primary and secondary students globally. A systematic review of ISP studies published between 2001 and 2021 that included industry perspectives was undertaken in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol. This focused systematically ordered review of industry perspectives of ISPs elicited four key findings: Limited research specifically focusing on industry participants’ perceptions of career and knowledge sharing ISPs exist. The most common reasons for participation included promoting careers and/or their industry, and enhancing community goodwill. The most common barriers or challenges in participating included time, budget and process constraints, and understanding the partnership’s impact. Communication, trust, relationships, and setting clear goals are often important features highlighted for successful partnerships. The recommendations from this review will be used to design, deliver and evaluate ISPs which aim to benefit agricultural industry participants. Future research will apply the findings from this review to a rural case site in Victoria, Australia, focused on agricultural ISPs aimed at increasing students’ aspirations for a career in the sector. This is vital as agriculture is an important industry in this region, yet many students are unaware of the range of career opportunities available to them.
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Moga, Carmen, Bing Guo, and Christa Harstall. "PP049 Exploring The Utility Of A Validated Quality Appraisal Tool." International Journal of Technology Assessment in Health Care 33, S1 (2017): 94–95. http://dx.doi.org/10.1017/s0266462317002331.
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INTRODUCTION:The Health Technology Assessment (HTA) researchers at the Institute of Health Economics, in collaboration with researchers from two HTA agencies in Australia and Spain, developed, piloted, and validated a 20-criteria quality appraisal checklist specific for case series studies (before-after single arm studies with no control group) (1,2). Since its publication in 2012, the use of the checklist has spread globally through the HTA community and to researchers in other areas. This presentation will briefly introduce the tool, summarize user experiences, outline potential challenges, and provide practical solutions for using or adapting the checklist to various HTA topics.METHODS:Feedback from fifteen researchers was collected informally by email and/or formally by questionnaire. The questions included focused on the relevance, clarity, and usefulness of the checklist and its instructions, as well as potential revisions and/or addition of other criteria.RESULTS:While some of the checklist's criteria apply to all studies of a particular type, others are specific to the research question and/or the technology under investigation; discussion on the modification and/or adaptation of the checklist and its instructions is therefore required before commencing appraisal. Some criteria are difficult to score owing to study reporting limitations. Quality assessment can be challenging when multiple types of studies are included; however, currently there is no single universally validated tool available for diverse study designs. There are frequent demands for a cut-off point in order to separate high- from low-quality studies. However, no scale or numeric scoring was developed for the checklist, due to the well-recognized risks associated with such a scoring system.CONCLUSIONS:The increased use of the checklist and general positive feedback indicates the need for such a tool. User feedback helped improve our understanding of the checklist's applicability with various topics, as well as the potential refinements needed to increase its utility and robustness.
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Grauslyte, Lina, Nathalie Bolding, Mandeep Phull, and Tomas Jovaisa. "The use of metaraminol as a vasopressor in critically unwell patients: a narrative review and a survey of UK practice." Journal of Critical Care Medicine 8, no. 3 (July 1, 2022): 193–203. http://dx.doi.org/10.2478/jccm-2022-0017.
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Abstract Background Major international guidelines state that norepinephrine should be used as the first-line vasopressor to achieve adequate blood pressure in patients with hypotension or shock. However, recent observational studies report that in the United Kingdom and Australia, metaraminol is often used as second line medication for cardiovascular support. Aim of the study The aim of this study was to carry out a systematic review of metaraminol use for management of shock in critically unwell patients and carry out a survey evaluating whether UK critical care units use metaraminol and under which circumstances. Methods A systematic review literature search was conducted. A short telephone survey consisting of 6 questions regarding metaraminol use was conducted across 30 UK critical care units which included a mix of tertiary and district general intensive care units. Results Twenty-six of thirty contacted centres responded to our survey. Metaraminol was used in 88% of them in various settings and circumstances (emergency department, theatres, medical emergencies on medical wards), with 67% reporting use of metaraminol infusions in the critical care setting. The systematic literature review revealed several case reports and only two studies conducted in the last 20 years investigating the effect of metaraminol as a stand-alone vasopressor. Both studies focused on different aspects of metaraminol use and the data was incomparable, hence we decided not to perform a meta-analysis. Conclusions Metaraminol is widely used as a vasopressor inside and outside of the critical care setting in the UK despite limited evidence supporting its safety and efficacy for treating shock. Further service evaluation, observational studies and prospective randomised controlled trials are warranted to validate the role and safety profile of metaraminol in the treatment of the critically unwell patient.
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Thrift, Amanda G., Tharshanah Thayabaranathan, George Howard, Virginia J. Howard, Peter M. Rothwell, Valery L. Feigin, Bo Norrving, Geoffrey A. Donnan, and Dominique A. Cadilhac. "Global stroke statistics." International Journal of Stroke 12, no. 1 (October 28, 2016): 13–32. http://dx.doi.org/10.1177/1747493016676285.
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Background Up to date data on incidence, mortality, and case-fatality for stroke are important for setting the agenda for prevention and healthcare. Aims and/or hypothesis We aim to update the most current incidence and mortality data on stroke available by country, and to expand the scope to case-fatality and explore how registry data might be complementary. Methods Data were compiled using two approaches: (1) an updated literature review building from our previous review and (2) direct acquisition and analysis of stroke events in the World Health Organization (WHO) mortality database for each country providing these data. To assess new and/or updated data on incidence, we searched multiple databases to identify new original papers and review articles that met ideal criteria for stroke incidence studies and were published between 15 May 2013 and 31 May 2016. For data on case-fatality, we searched between 1980 and 31 May 2016. We further screened reference lists and citation history of papers to identify other studies not obtained from these sources. Mortality codes for ICD-8, ICD-9, and ICD-10 were extracted. Using population denominators provided for each country, we calculated both the crude mortality from stroke and mortality adjusted to the WHO world population. We used only the most recent year reported to the WHO for which both population and mortality data were available. Results Fifty-one countries had data on stroke incidence, some with data over many time periods, and some with data in more than one region. Since our last review, there were new incidence studies from 12 countries, with four meeting pre-determined quality criteria. In these four studies, the incidence of stroke, adjusted to the WHO World standard population, ranged from 76 per 100,000 population per year in Australia (2009–10) up to 119 per 100,000 population per year in New Zealand (2011–12), with the latter being in those aged at least 15 years. Only in Martinique (2011–12) was the incidence of stroke greater in women than men. In countries either lacking or with old data on stroke incidence, eight had national clinical registries of hospital based data. Of the 128 countries reporting mortality data to the WHO, crude mortality was greatest in Kazhakstan (in 2003), Bulgaria, and Greece. Crude mortality and crude incidence of stroke were both positively correlated with the proportion of the population aged ≥ 65 years, but not with time. Data on case-fatality were available in 42 studies in 22 countries, with large variations between regions. Conclusions In this updated review, we describe the current data on stroke incidence, case-fatality and mortality in different countries, and highlight the growing trend for national clinical registries to provide estimates in lieu of community-based incidence studies.
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Giannoni, Eric, Varvara Dimopoulou, Claus Klingenberg, Lars Navér, Viveka Nordberg, Alberto Berardi, Salhab el Helou, et al. "Analysis of Antibiotic Exposure and Early-Onset Neonatal Sepsis in Europe, North America, and Australia." JAMA Network Open 5, no. 11 (November 23, 2022): e2243691. http://dx.doi.org/10.1001/jamanetworkopen.2022.43691.
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ImportanceAppropriate use of antibiotics is life-saving in neonatal early-onset sepsis (EOS), but overuse of antibiotics is associated with antimicrobial resistance and long-term adverse outcomes. Large international studies quantifying early-life antibiotic exposure along with EOS incidence are needed to provide a basis for future interventions aimed at safely reducing neonatal antibiotic exposure.ObjectiveTo compare early postnatal exposure to antibiotics, incidence of EOS, and mortality among different networks in high-income countries.Design, Setting, and ParticipantsThis is a retrospective, cross-sectional study of late-preterm and full-term neonates born between January 1, 2014, and December 31, 2018, in 13 hospital-based or population-based networks from 11 countries in Europe and North America and Australia. The study included all infants born alive at a gestational age greater than or equal to 34 weeks in the participating networks. Data were analyzed from October 2021 to March 2022.ExposuresExposure to antibiotics started in the first postnatal week.Main Outcomes and MeasuresThe main outcomes were the proportion of late-preterm and full-term neonates receiving intravenous antibiotics, the duration of antibiotic treatment, the incidence of culture-proven EOS, and all-cause and EOS-associated mortality.ResultsA total of 757 979 late-preterm and full-term neonates were born in the participating networks during the study period; 21 703 neonates (2.86%; 95% CI, 2.83%-2.90%), including 12 886 boys (59.4%) with a median (IQR) gestational age of 39 (36-40) weeks and median (IQR) birth weight of 3250 (2750-3750) g, received intravenous antibiotics during the first postnatal week. The proportion of neonates started on antibiotics ranged from 1.18% to 12.45% among networks. The median (IQR) duration of treatment was 9 (7-14) days for neonates with EOS and 4 (3-6) days for those without EOS. This led to an antibiotic exposure of 135 days per 1000 live births (range across networks, 54-491 days per 1000 live births). The incidence of EOS was 0.49 cases per 1000 live births (range, 0.18-1.45 cases per 1000 live births). EOS-associated mortality was 3.20% (12 of 375 neonates; range, 0.00%-12.00%). For each case of EOS, 58 neonates were started on antibiotics and 273 antibiotic days were administered.Conclusions and RelevanceThe findings of this study suggest that antibiotic exposure during the first postnatal week is disproportionate compared with the burden of EOS and that there are wide (up to 9-fold) variations internationally. This study defined a set of indicators reporting on both dimensions to facilitate benchmarking and future interventions aimed at safely reducing antibiotic exposure in early life.
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Cornish, P. S. "Phosphorus management on extensive organic and low-input farms." Crop and Pasture Science 60, no. 2 (2009): 105. http://dx.doi.org/10.1071/cp07134.
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A synthesis of the Australian literature reporting soil and plant phosphorus (P) status under organic methods of broadacre farming provides clear evidence that available soil P is lower in organic systems, although there have been no reports of farm P balances that might help to explain the lower P concentrations. There is also evidence, which is largely circumstantial, to suggest that P deficiency significantly reduces productivity of broadacre organic farms, but few experiments prove this conclusively because of other confounding factors. An overview of international literature suggests similar findings for mixed farms. Nine case studies further examined the constraints imposed by P on broadacre organic and low-input farms in Australia. Two farms on fertile soils had negative P balances but maintained productivity without fertilisers by ‘mining available’ P reserves. Five extensive organic farms on inherently less fertile soils had positive P balances because P fertiliser was used. Four of these farmers reported low productivity, which was supported by comparisons of wheat yields with estimated water-limited potential yields. Low productivity appeared to be related to P deficiency despite the use of allowable mineral fertilisers, mostly reactive phosphate rock (RPR), on these farms. The apparent ineffectiveness of RPR is most likely due to the modest rainfall at these farms (380–580 mm/year). The highest research priority is to develop effective, allowable fertilisers. Until this has been achieved, or ways of using less labile P have been developed, there is a case for derogation in the Certification Standards to allow the use of soluble forms of P fertiliser on soils with low soil solution P and high soil P-sorption. Two low-input farms practicing pasture-cropping had approximately balanced P budgets and from this perspective were the most sustainable of the farms studied.
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Angermeyer, M. C., and G. Schomerus. "State of the art of population-based attitude research on mental health: a systematic review." Epidemiology and Psychiatric Sciences 26, no. 3 (August 30, 2016): 252–64. http://dx.doi.org/10.1017/s2045796016000627.
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Aims.Population surveys have become a frequently used method to explore stigma, help-seeking and illness beliefs related to mental illness. Methodological quality however differs greatly between studies, and our current knowledge seems heavily biased towards high-income countries. A critical appraisal of advances and shortcomings of psychiatric attitude research is missing. This review summarises and appraises the state of the art in population-based attitude research on mental health.Methods.Systematic review of all peer-reviewed papers reporting representative population studies on beliefs and attitudes about mental disorders published between January 2005 and December 2014 (n = 478).Results.Over the decade covered by this review considerably more papers on psychiatric attitude research have been published than over the whole time period before. Most papers originated in Europe (36.3%), North America (23.2%) and Australia (22.6%), only 14.6% of all papers included data from low- or middle income countries. The vast majority of papers (80.1%) used correlational cross-sectional analyses, only 4% used experimental or quasi-experimental designs. Data in 45.9% of all papers were obtained with face-to-face interviews, followed by telephone (34.5%), mail (7.3%) and online surveys (4.0%). In almost half of papers (44.6%) case-vignettes served as stimulus for eliciting responses from interviewees. In 20.7% instruments meeting established psychometric criteria were used. The most frequently studied disorder was depression (44.6% of all paper), followed by schizophrenia (33%). 11.7% of papers reported time trend analyses of attitudes and beliefs, 7.5% cross-cultural comparisons. The most common focus of research was on mental health literacy (in total 63.4% of all papers, followed by various forms of stigma (48.3%).There was a scarcity of papers (12.1%) based on established theoretical frameworks.Conclusions.In the current boom of attitude research, an avant-garde of studies uses profound and innovative methodology, but there are still blind spots and a large proportion of conventional studies. We discuss current and future methodological challenges that psychiatric attitude research needs to embrace. More innovative and methodologically sound studies are needed to provide an empirical basis for evidence-based interventions aimed at reducing misconceptions about mental disorders and improve attitudes towards those afflicted.