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Journal articles on the topic "Shore protection Victoria"

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Hall, Katrina, and Scott Chidgey. "Assessing the environmental impact of water discharge in a sensitive near-shore marine environment." APPEA Journal 53, no. 1 (2013): 301. http://dx.doi.org/10.1071/aj12026.

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Esso’s Long Island Point facility has been operating for more than 40 years beside Western Port in Victoria, and has discharged treated wastewater and storm water to the bay for most of these years. The 2001 State Environment Protection Policy Schedule F8 for Waters of Western Port is part of Victoria’s Environment Protection Authority’s (EPA) legal framework for licensing discharges to the waters of Victoria, and requires that discharges ‘cause no detrimental change in the environmental quality of the receiving waters, as determined by an environmental monitoring program’. As part of Esso’s ongoing commitment to continuous improvement, a major upgrade to the water treatment facility was completed to further improve the quality of waters discharged to Western Port. In conjunction with this upgrade, Esso is undertaking a study on the effects of the discharge on the environmental quality of Western Port. This peer-reviewed paper presents an example of the practical application of managing discharges to ensure that the stated environmental values of a receiving environment are protected. The environmental study focuses on four key aspects of marine-environment quality relevant to key Western Port ecosystem values in the vicinity of the facility’s effluent discharge, which are: ambient water quality; seagrass biomass; jetty pile epibiota; and, ecological risk through toxicity testing. The study demonstrates the implications of basing regulatory requirements on the quality of the site-specific environmental characteristics, rather than merely effluent quality and generalised water quality objectives. Furthermore, it validates the need for sound science to underpin regulatory limits and industry practices when operating in sensitive environments.
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Connor, M. A., and D. Reeve. "The Clean Technology Incentive Scheme of the State of Victoria, Australia." Water Science and Technology 29, no. 8 (April 1, 1994): 37–45. http://dx.doi.org/10.2166/wst.1994.0377.

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Over the past decade environment protection policies have placed increasing emphasis on waste minimisation and cleaner production techniques. The Environment Protection Authority in Victoria, Australia, has sought to encourage waste minimisation by establishing a Clean Technology Incentive Scheme. This Scheme makes available secured interest-free loans of up to $100,000 to selected small and medium-sized companies proposing to install proven yet innovative waste reducing technology. Applications are evaluated by a Review Committee drawn from a diversity of backgrounds. The technical feasibility, innovativeness, environmental benefits and financial soundness of proposals are assessed and a short-list of potential loan recipients prepared. The managerial competence and financial status of short-listed applicants is checked before loans are made. The Scheme was established in 1988 and since then 35 offers of loans have been made. Whilst the newness of the Scheme makes evaluation of its long-term effectiveness premature, results to date are encouraging. Case studies of three especially successful projects are presented.
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Zhou, Jian, Yuanyuan Wang, Fu Xiao, Yunyun Wang, and Lijuan Sun. "Water Quality Prediction Method Based on IGRA and LSTM." Water 10, no. 9 (August 27, 2018): 1148. http://dx.doi.org/10.3390/w10091148.

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Water quality prediction has great significance for water environment protection. A water quality prediction method based on the Improved Grey Relational Analysis (IGRA) algorithm and a Long-Short Term Memory (LSTM) neural network is proposed in this paper. Firstly, considering the multivariate correlation of water quality information, IGRA, in terms of similarity and proximity, is proposed to make feature selection for water quality information. Secondly, considering the time sequence of water quality information, the water quality prediction model based on LSTM, whose inputs are the features obtained by IGRA, is established. Finally, the proposed method is applied in two actual water quality datasets: Tai Lake and Victoria Bay. Experimental results demonstrate that the proposed method can take full advantage of the multivariate correlations and time sequence of water quality information to achieve better performance on water quality prediction compared with the single feature or non-sequential prediction methods.
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Sáfián, Szabolcs, and D. Tomasz W. Pyrcz. "Further data on the butterfly fauna (Lepidoptera: Papilionoidea) of Mpanga Forest, Uganda, and the role of this forest in biodiversity conservation." Metamorphosis 31, no. 1 (March 16, 2022): 7–14. http://dx.doi.org/10.4314/met.v31i1.3.

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We present records of further 87 butterfly species to the checklist of Mpanga Forest, Mpigi, Uganda, increasing the number of known species to 401. Over half of all newly recorded butterflies are skippers (Hesperiidae), also, a significant proportion of the new records pertain to species which tend to occur in more open habitats and forest-edges, also swampy areas or wetlands. Our records represent the easternmost occurrences of Procampta admiratio(Hesperiidae), Bicyclus rhacotis (Nymphalidae), Pentila alba and Iolaus schultzei (Lycaenidae) with significant range extensions. The still increasing number of species further emphasizes the conservation importance of the remaining small fragments of the once extensive Lake Victoria outlier forest, which almost disappeared from shores of the lake between the Kenyan and Tanzanian border. The pressure from the steeply increasing human population and apparent lack of actual protection measures threatens the Mpanga forest ecosystem and its butterfly fauna, despite its educational and unique eco-tourism potential.
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Haines, PJ, AB Bell, and LP Thatcher. "Evaluation of some factors involved in reducing browsing damage to eucalypt trees by sheep." Australian Journal of Experimental Agriculture 34, no. 5 (1994): 601. http://dx.doi.org/10.1071/ea9940601.

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These experiments evaluated in northeastern Victoria the factors affecting the severity of browsing damage to eucalypts by sheep. We aimed to develop management options for integrating sheep grazing in agroforestry systems. One-year-old tree seedlings were planted into annual pasture and grazed at high stocking rates (44 sheep/ha) for up to 1 week when the pasture was abundant. In experiments 1 and 2, crossbred weaners almost totally defoliated Eucalyptus camaldulensis (river red gum) seedlings after 96 h grazing; damage from older Merino wethers was minimal. Of the 4 eucalypt species tested for relative acceptability or palatability to crossbred weaners, E. camaldulensis was the most heavily browsed and E. globulus spp. bicostata (southern blue gum), least. The height of the pasture immediately surrounding the seedlings, and therefore visibility of the seedling to the sheep, did not affect browsing extent. In experiment 3, potential repellents were applied either on the ground around E. camaldulensis seedlings or sprinkled on the foliage. Six repellants provided short-term protection from crossbred weaner sheep; Replex 1 and 3, and egg and paint were the most effective. After 4 days grazing, seedlings treated with Replex 3 had sustained 24% mean browsing damage compared with 90% for the control.
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Allen, Marc. "Outing the Majority: Gay Rights, Public Debate, and Polarization after Doe v. Reed." Michigan Journal of Gender & Law, no. 20.1 (2013): 129. http://dx.doi.org/10.36641/mjgl.20.1.outing.

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In 2010, the United States Supreme Court ruled in Doe v. Reed that Washington citizens who signed a petition to eliminate legal rights for LGBT couples did not have a right to keep their names secret. A year later, in ProtectMarriage.com v. Bowen, a district court in California partially relied on Reed to reject a similar request from groups who lobbied for California Proposition 8-a constitutional amendment that overturned the California Supreme Court's landmark 2008 gay marriage decision. These holdings are important to election law, feminist, and first amendment scholars for a number of reasons. First, they flip the traditional roles of the civil rights litigants from earlier cases, like NAACP v. Alabama. In those early cases, publicly persecuted groups sought protection from disclosure laws, but, here, the persecutors themselves are looking for help. Second, the Doe v. Reed opinion, and especially Justice Scalia's concurrence, articulate an age-old conception of republican citizenship, one supported by a number of modern and contemporary political theorists. Last, this conception of citizenship has interesting, and largely positive, implications for political polarization, especially in the context of LGBT rights. It facilitates the realization of the fruits of hard-fought public opinion victories by the LGBT community and their allies. The Reed holding has the potential to help turn the ever-growing support for LGBT rights into concrete policies in the next decade. Marriage rights and employment protections for gays, lesbians, and transgender Americans have been put up for public referenda in a number of states. While the last few months have seen a number of key victories for the LGBT community, most states still have laws preventing gay and lesbian couples from marrying. Increased transparency might be good for LGBT legislative battles for a number of reasons. I argue that the LGBT movement is at a place where embracing Scalia's combative public citizenship is a winning strategy. Justice Scalia has provided the LGBT community with a critical weapon in its fight for marriage equality. By examining political science literature and public opinion polling, I hope to show that making public ballot initiatives transparent will curb the trend of states taking away rights and privileges from their LGBT citizens. I share the concerns of commentators like Cass Sunstein, who fear the phenomenon of insular political communities moving to extremes. I also share the concerns of thinkers ranging from James Madison to Alexis de Tocqueville to modern day political scientists about political majorities targeting unpopular minorities in winner-take-all elections. The "brave citizen" of Scalia's concurrence is a conception of deliberative democracy that serves the LGBT community well. In this Note I look at the likely impact of Doe v. Reed on the politics of the fight for LGBT rights.
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Tremblay, R. "Development of design spectra for long-duration ground motions from Cascadia subduction earthquakes." Canadian Journal of Civil Engineering 25, no. 6 (December 1, 1998): 1078–90. http://dx.doi.org/10.1139/l98-028.

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There is now growing evidence that large-magnitude earthquakes have occurred and could occur again along the Cascadia subduction zone located west of Vancouver Island, Bristish Columbia. Numerical simulations indicate that these earthquakes would produce long-duration ground motions and would thus be capable of inducing a large number of reversals of inelastic deformations in engineered structures. Efforts have now been undertaken to account for this damage potential in building codes. In this paper, inelastic design spectra are developed for Cascadia subduction earthquakes for four sites in British Columbia. These spectra are compared with elastic design spectra that have been developed recently for the same sites based on empirical attenuation relationships for Cascadia events. The approach used to develop the inelastic spectra aims at providing the same level of protection against structural failure for both subduction events and crustal or subcrustal earthquakes. Force modification factors are first determined for structures exhibiting various failure modes and ductility levels when subjected to representative crustal and subcrustal earthquake ground motions. Thereafter, design spectra are developed for the same structures to prevent structural collapse under simulated Cascadia subduction ground motions. The study reveals that the elastic spectra do not reflect adequately the damage potential of Cascadia earthquakes. These elastic spectra generally are unconservative for Tofino and Victoria. For Vancouver and Prince George, the elastic spectra overestimate the demand, especially for short-period structures.Key words: collapse, crustal earthquakes, damage index, design spectrum, ductility, duration, ground motion, subduction zone.
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Weston, Michael A., Glenn C. Ehmke, and Grainne S. Maguire. "Manage one beach or two? Movements and space-use of the threatened hooded plover (Thinornis rubricollis) in south-eastern Australia." Wildlife Research 36, no. 4 (2009): 289. http://dx.doi.org/10.1071/wr08084.

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An understanding of space use and dispersal of a wildlife species is essential for effective management. We examined the movements of a beach-dwelling, threatened population of hooded plover (Thinornis rubricollis) in southern central Victoria, Australia, by analysing sightings of colour-banded birds (4897 sightings; 194 birds tracked for up to 9 years). Most movements were relatively short (5050 ± 305 m), with 61.4% <1 km and 95.3% <20 km; they lacked directional or sexual bias. The extent of coastline used by individual birds was 47.8 ± 58.0 km. Regional differences in average distances moved by adults were apparent. For adults, movement rates (mean distance per day) were higher during the non-breeding season than during the breeding season. Non-breeding adults generally remained close to their partners (non-breeding, 456.3 ± 163.9 m; breeding, 148.2 ± 45.3 m). Largest flock sizes were recorded during the non-breeding period, and flocking was not uniformly distributed along the coast but appeared to be concentrated in particular locations. The frequency of pair cohesion (i.e. when the distance between partners was zero on a given day) was similar during the breeding (69.6%) and non-breeding seasons (67.7%). Breeding territories (kernel analysis) were 36.7 ± 5.7 ha and overlapped from year to year in all cases (23 pairwise comparisons; 47.9 ± 7.1% overlap). The high fidelity and constancy of territories confirms they warrant ongoing management investment, although the species relies on a matrix of breeding and non-breeding sites. The latter appear to occur in specific parts of the coast and warrant enhanced protection and more research attention. Fragmentation of the breeding population might occur where habitat is rendered unsuitable for > ~50 km.
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Malmgaard-Clausen, Nikolaj M., Oscar H. Jørgensen, Rikke Høffner, Peter E. B. Andersen, Rene B. Svensson, Philip Hansen, Janus D. Nybing, S. Peter Magnusson, and Michael Kjær. "No Additive Clinical or Physiological Effects of Short-term Anti-inflammatory Treatment to Physical Rehabilitation in the Early Phase of Human Achilles Tendinopathy: A Randomized Controlled Trial." American Journal of Sports Medicine 49, no. 7 (March 15, 2021): 1711–20. http://dx.doi.org/10.1177/0363546521991903.

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Background: Nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used in the treatment of Achilles tendinopathy, but whether they have any additive clinical effect on physical rehabilitation in the early phase of tendinopathy remains unknown. Purpose/Hypothesis: To investigate whether an initial short-term NSAID treatment added to a physical rehabilitation program in the early phase of Achilles tendinopathy would have an additive effect. We hypothesized that the combination of NSAID and rehabilitation would be superior to rehabilitation alone. Study Design: Randomized controlled trial; Level of evidence, 1. Methods: A total of 69 patients with early phase Achilles tendinopathy (lasting <3 months) were randomly assigned to either a naproxen group (7 days of treatment; 500 mg twice daily; n = 34) or a placebo group (7 days of placebo treatment; n = 35). Both groups received an identical 12-week physical rehabilitation program. The clinical outcome of the study was evaluated using the Victorian Institute of Sports Assessment–Achilles (VISA-A) questionnaire and a numerical rating scale (NRS), and the physiological outcome was evaluated using ultrasonography, magnetic resonance imaging (MRI), and ultra-short time to echo T2* mapping MRI (UTE T2* MRI). Follow-up was performed at 1 week, 3 months, and 1 year. Time effects are presented as mean difference ± SEM. Results: No significant differences were found between the 2 treatment groups for any of the outcome measures at any time point ( P > .05). For the VISA-A score, a significant time effect was observed between baseline and 3-month follow-up (14.9 ± 2.3; P < .0001), and at 1-year follow-up, additional improvements were observed (6.1 ± 2.3; P < .01). Furthermore, the change in VISA-A score between baseline and 3-month follow-up was greater in patients with very short symptom duration (<1 month) at baseline compared with patients who had longer symptom duration (>2 months) (interaction between groups, 11.7 ± 4.2; P < .01). Despite clinical improvements, total weekly physical activity remained lower compared with preinjury levels at 3 months (–2.7 ± 0.5 h/wk; P < .0001) and 1 year (–3.0 ± 0.5 h/wk; P < .0001). At baseline, ultrasonography showed increased thickness (0.12 ± 0.03 cm; P < .0001) and vascularity (0.3 ± 0.1 cm2; P < .005) on the tendinopathic side compared with the contralateral side, but no changes over time were observed for ultrasonography, MRI, or UTE T2* MRI results. Conclusion: Clinical symptoms in early tendinopathy improved with physical rehabilitation, but this improvement was not augmented with the addition of NSAID treatment. Furthermore, this clinical recovery occurred in the absence of any measurable structural alterations. Finally, clinical improvements after a physical rehabilitation program were greater in patients with very short symptom duration compared with patients who had longer symptom duration. Registration: NCT03401177 (ClinicalTrials.gov identifier) and BFH-2016-019 (Danish Data Protection Agency)
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Ahmed Abed al-Zubaidi, Dr Riyam, and Dr Waleed Abood Mohammed al-Dulaimi. "The Role of Japanese Naval Force and Emergence of its International Status (1914-1921)." INTERNATIONAL JOURNAL OF RESEARCH IN SOCIAL SCIENCES & HUMANITIES 13, no. 01 (2023): 01–17. http://dx.doi.org/10.37648/ijrssh.v13i01.001.

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To achieve its expansionist regional ambitions in China and Korea, and to protect its shipping lines in the Pacific Ocean, and to justify its claims in protecting East Asia from the dangers of German naval bases, on the one hand, and its endeavor to establish peace and prevent the spread of battles to the Far East, on the other hand. The research was concerned with the nature of these allegations and the extent of their truth, in light of tracking the role of the Japanese naval force during the First World War (1914- 1918), and then the emergence of its international standing until 1921, as the developments witnessed in those years represented an important opportunity for Japan at all levels, especially after Its victories made it a major naval power on the international level. However, the internal problems that always faced the Japanese naval power did not stand in the way of its ambitions, which succeeded in employing war as a means to obtain governmental financial specializations to implement its expansion and development programs, especially in light of the recovery of the Japanese economy during the war years as a result of Europe’s preoccupation with preparing the requirements of the war economy, which provided an opportunity Important for the Japanese industry and its various products in controlling the domestic and foreign markets and developing its heavy industry, especially the construction of warship docks, which led to an increase in its profits and the number of its industrial workers who, in the short term, caused a radical change in the structure of society. Despite its active participation in the First World War on the side of the friendly Entente countries and the protection of its merchant ships in the Mediterranean and its desire to join the European arena of operations, its expansionist ambitions and its attempt to control Siberia and obtain political and regional privileges in China and other regions on the one hand, and continue to increase Its spending on industry that supports the elements of strengthening, expanding and developing its naval power in 1920, in a way that amounts to international standards for its counterparts on the other hand. This led to the fear of Britain, the United States of America and France, and their doubts about Japan's real intentions and future dangers in the Far East and the Pacific Ocean, and then called for a conference in 1921 to determine international naval armaments, in a way that guarantees preventing Japan from being at the level of the major international naval powers.
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Books on the topic "Shore protection Victoria"

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Duncan, G. M. The protection of the foreshore at Dallas Road, Victoria, B.C. [S.l: s.n., 1991.

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Book chapters on the topic "Shore protection Victoria"

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Elizondo Griest, Stephanie. "The Movement." In All the Agents and Saints. University of North Carolina Press, 2017. http://dx.doi.org/10.5149/northcarolina/9781469631592.003.0017.

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At the end of 2012, the biggest indigenous rights movements in Canada’s history erupted. Known as Idle No More, it was triggered by legislation to eliminate key protections for water, fish, Aboriginal land, and native sovereignty. On January 5, 2013, six Cree youth left their remote village of Whapmagoostui, Quebec on the shores of Hudson Bay and started snowshoeing across Canada in the name of peace. Hundreds joined them for “The Journey of Nishiyuu,” or the Journey of the People. The author and her Cree/Metis friend Bob drive out to greet the youth on Victoria Island in Ottawa, Canada, and follow along on their march toward Parliament, where a rally is held.
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Labonté, Ronald, and Arne Ruckert. "Disrupted labour markets." In Health Equity in a Globalizing Era, 93–113. Oxford University Press, 2019. http://dx.doi.org/10.1093/oso/9780198835356.003.0005.

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The search for employment is one of the major drivers behind migration. Globalization processes have had profound impacts on the world’s labour markets, creating opportunities for some (through out-sourcing) while dislocating work for others. This global redistribution of labour is not motivated by concerns for the livelihoods of workers so much as by the pursuit of profits by transnationally liberated capital. Net effects include increases in precarious work, declines in labour’s share of global economic product, and a continuous ‘flexibilization’ of labour markets excused by competitive pressures. Such changes bring new health risks associated with insecurity for many and downwards pressure on wages for some. International policy discourse lauds efforts to improve social protection measures for affected workers, while the growing gap between productivity and wages is giving rise to a call for universal basic incomes to compensate for globalization’s victory of capital over labour.
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Irons, Peter. "“Intimate Social Contact with Negro Men”." In White Men's Law, 135–54. Oxford University Press, 2021. http://dx.doi.org/10.1093/oso/9780190914943.003.0008.

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This chapter covers the New Deal decade of the 1930s and the Greatest War decade of the 1940s. After the stock market crash in October 1929, the mounting toll of unemployment, industrial near-collapse, and crop failures overwhelmed the feeble recovery efforts of President Herbert Hoover’s administration and brought Franklin D. Roosevelt to the White House with ambitious plans for a New Deal. Black leaders were both hopeful and cautious about the impact of recovery programs. Under the leadership of Mary McCloud Bethune, a noted Black educator and friend of Eleanor Roosevelt, a “Black Cabinet” succeeded in obtaining a fair share of jobs and relief for poor Blacks, but at the price of segregation in Jim Crow states. The chapter also recounts the beginnings of the legal campaign against school segregation, led by Thurgood Marshall, legal director of the NAACP. His first court victories, in Maryland and Missouri, were interrupted by World War II, during which labor leader A. Philip Randolph won protection for Blacks in war industries. But the war’s end unleashed a new wave of attacks on Blacks; the blinding of a Black veteran in uniform, Isaac Woodard, by a White South Carolina sheriff so upset President Harry Truman that he ordered integration of the armed forces. Meanwhile, Marshall won three more graduate and law school cases in Oklahoma and Texas, further undermining the “separate but equal” doctrine of the Plessy case.
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Reports on the topic "Shore protection Victoria"

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Smit, Amelia, Kate Dunlop, Nehal Singh, Diona Damian, Kylie Vuong, and Anne Cust. Primary prevention of skin cancer in primary care settings. The Sax Institute, August 2022. http://dx.doi.org/10.57022/qpsm1481.

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Overview Skin cancer prevention is a component of the new Cancer Plan 2022–27, which guides the work of the Cancer Institute NSW. To lessen the impact of skin cancer on the community, the Cancer Institute NSW works closely with the NSW Skin Cancer Prevention Advisory Committee, comprising governmental and non-governmental organisation representatives, to develop and implement the NSW Skin Cancer Prevention Strategy. Primary Health Networks and primary care providers are seen as important stakeholders in this work. To guide improvements in skin cancer prevention and inform the development of the next NSW Skin Cancer Prevention Strategy, an up-to-date review of the evidence on the effectiveness and feasibility of skin cancer prevention activities in primary care is required. A research team led by the Daffodil Centre, a joint venture between the University of Sydney and Cancer Council NSW, was contracted to undertake an Evidence Check review to address the questions below. Evidence Check questions This Evidence Check aimed to address the following questions: Question 1: What skin cancer primary prevention activities can be effectively administered in primary care settings? As part of this, identify the key components of such messages, strategies, programs or initiatives that have been effectively implemented and their feasibility in the NSW/Australian context. Question 2: What are the main barriers and enablers for primary care providers in delivering skin cancer primary prevention activities within their setting? Summary of methods The research team conducted a detailed analysis of the published and grey literature, based on a comprehensive search. We developed the search strategy in consultation with a medical librarian at the University of Sydney and the Cancer Institute NSW team, and implemented it across the databases Embase, MEDLINE, PsycInfo, Scopus, Cochrane Central and CINAHL. Results were exported and uploaded to Covidence for screening and further selection. The search strategy was designed according to the SPIDER tool for Qualitative and Mixed-Methods Evidence Synthesis, which is a systematic strategy for searching qualitative and mixed-methods research studies. The SPIDER tool facilitates rigour in research by defining key elements of non-quantitative research questions. We included peer-reviewed and grey literature that included skin cancer primary prevention strategies/ interventions/ techniques/ programs within primary care settings, e.g. involving general practitioners and primary care nurses. The literature was limited to publications since 2014, and for studies or programs conducted in Australia, the UK, New Zealand, Canada, Ireland, Western Europe and Scandinavia. We also included relevant systematic reviews and evidence syntheses based on a range of international evidence where also relevant to the Australian context. To address Question 1, about the effectiveness of skin cancer prevention activities in primary care settings, we summarised findings from the Evidence Check according to different skin cancer prevention activities. To address Question 2, about the barriers and enablers of skin cancer prevention activities in primary care settings, we summarised findings according to the Consolidated Framework for Implementation Research (CFIR). The CFIR is a framework for identifying important implementation considerations for novel interventions in healthcare settings and provides a practical guide for systematically assessing potential barriers and facilitators in preparation for implementing a new activity or program. We assessed study quality using the National Health and Medical Research Council (NHMRC) levels of evidence. Key findings We identified 25 peer-reviewed journal articles that met the eligibility criteria and we included these in the Evidence Check. Eight of the studies were conducted in Australia, six in the UK, and the others elsewhere (mainly other European countries). In addition, the grey literature search identified four relevant guidelines, 12 education/training resources, two Cancer Care pathways, two position statements, three reports and five other resources that we included in the Evidence Check. Question 1 (related to effectiveness) We categorised the studies into different types of skin cancer prevention activities: behavioural counselling (n=3); risk assessment and delivering risk-tailored information (n=10); new technologies for early detection and accompanying prevention advice (n=4); and education and training programs for general practitioners (GPs) and primary care nurses regarding skin cancer prevention (n=3). There was good evidence that behavioural counselling interventions can result in a small improvement in sun protection behaviours among adults with fair skin types (defined as ivory or pale skin, light hair and eye colour, freckles, or those who sunburn easily), which would include the majority of Australians. It was found that clinicians play an important role in counselling patients about sun-protective behaviours, and recommended tailoring messages to the age and demographics of target groups (e.g. high-risk groups) to have maximal influence on behaviours. Several web-based melanoma risk prediction tools are now available in Australia, mainly designed for health professionals to identify patients’ risk of a new or subsequent primary melanoma and guide discussions with patients about primary prevention and early detection. Intervention studies have demonstrated that use of these melanoma risk prediction tools is feasible and acceptable to participants in primary care settings, and there is some evidence, including from Australian studies, that using these risk prediction tools to tailor primary prevention and early detection messages can improve sun-related behaviours. Some studies examined novel technologies, such as apps, to support early detection through skin examinations, including a very limited focus on the provision of preventive advice. These novel technologies are still largely in the research domain rather than recommended for routine use but provide a potential future opportunity to incorporate more primary prevention tailored advice. There are a number of online short courses available for primary healthcare professionals specifically focusing on skin cancer prevention. Most education and training programs for GPs and primary care nurses in the field of skin cancer focus on treatment and early detection, though some programs have specifically incorporated primary prevention education and training. A notable example is the Dermoscopy for Victorian General Practice Program, in which 93% of participating GPs reported that they had increased preventive information provided to high-risk patients and during skin examinations. Question 2 (related to barriers and enablers) Key enablers of performing skin cancer prevention activities in primary care settings included: • Easy access and availability of guidelines and point-of-care tools and resources • A fit with existing workflows and systems, so there is minimal disruption to flow of care • Easy-to-understand patient information • Using the waiting room for collection of risk assessment information on an electronic device such as an iPad/tablet where possible • Pairing with early detection activities • Sharing of successful programs across jurisdictions. Key barriers to performing skin cancer prevention activities in primary care settings included: • Unclear requirements and lack of confidence (self-efficacy) about prevention counselling • Limited availability of GP services especially in regional and remote areas • Competing demands, low priority, lack of time • Lack of incentives.
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