Recruitment methods for community-based screening for diabetic retinopathy

Regular screening of all people with diabetes is the most efficient and cost-effective way to detect early stages of diabetic retinopathy so that laser treatment can be performed at the optimal time. A major aim of the Program for the Early Detection of Diabetic Retinopathy was to increase compliance with guidelines for screening for diabetic retinopathy. This community-based screening program used non-mydriatic retinal photography and was initiated in four areas of Victoria, Australia from 1996-1998. Recruitment strategies included targeted mail-outs, provision of the program brochure in English and the main languages spoken in the areas and media promotion in ethnic newspapers and on ethnic radio stations. In Victoria, only 55% of the population with diabetes currently access eye care services at the recommended intervals. This program was able to increase compliance with guidelines to 70% among people with diabetes that had not had a recent eye examination. A total of 1,197 people with diabetes were screened for diabetic retinopathy. Of the 1,197 people who were screened, 620 (15% of the estimated number of people with diabetes) had not had their eyes examined in the past two years. This pilot study identified strategies to encourage people with diabetes to have their eyes examined at the recommended intervals.

What do participants of the Crohn's and Colitis UK (CCUK) Annual York Walk think of their Inflammatory bowel disease care? A short report on a survey

There has been a growing interest in a patient-centered model of care in inflammatory bowel disease; however, no relevant study using a mixed methodology has been conducted to date. Thus, our multidisciplinary group aimed to explore the issue of patient involvement in care among the inflammatory bowel disease community. A mixed-methods anonymous survey was conducted during the Crohn's and Colitis UK annual event. Summary statistics were used to describe the sample, and a simple thematic analysis identified key themes in qualitative responses. There were 64 survey respondents, representing 73% of the total family/friend groups participating (N = 87). Overall, 75% of respondents answered that they had the opportunity to discuss their care with their inflammatory bowel disease practitioner and 81% felt their opinions were taken on board and valued. A clear majority (84%) had at some point been treated by a gastroenterologist. In contrast, less than half (44%) had the opportunity for a dietician consultation and only 28% had the opportunity for a psychologist/counselor consultation. Although satisfaction with inflammatory bowel disease care was high, access to specialty services was concerning. Efforts should be made to provide access to mental health practitioners for those with clinically significant anxiety and/or depression.

Preparing early childhood professionals to work with parents: the challenges of diversity and dissensus

This article examines how early childhood staff in diverse circumstances negotiate relationships with parents. It draws on interviews with staff in two rural and three urban communities in Australia, who were asked about their parent communication practices, their experiences of these practices, and their preferences within these practices. Their responses were analysed in the light of international research showing the importance of creating strong interpretive communities between staff and parents but consistent staff anxiety about their relationships with parents. The paper explores the extent to which staff's different approaches to communicating with parents can create sustainable interpretive communities between them, and it highlights some implications for staff training and development around parent involvement.

Using small reverse cycle air conditioners in relocatable classrooms - a case study

A 9-month study of four relocatable school buildings, each retro-fitted with small reverse cycle air conditioners (ACs), was conducted to investigate their effectiveness in heating and cooling the classrooms. A comparison with data from previous studies found the energy used by the ACs for heating these temporary classrooms was only 19–20% of the energy used by individual gas heaters installed in permanent classrooms. When equipment efficiencies were considered, the AC units supplied 20–27% less energy to heat the classrooms. The possible reasons for this reduction in supplied energy are explored in this paper. CO2 emissions for the AC units in heating mode, however, were calculated to be 16% greater than for individual gas heaters. The AC units were also used for cooling and on an average the total annual energy consumption for heating and cooling was found to be 11.6 kWh m−2. Responses to a small survey of staff and students about the use and operation of the conditioners are presented. Their responses were more favourable than the predictions of comfort levels in the classrooms using the Predicted Mean Vote–Predicted Percentage of Dissatisfaction (PMV–PPD) model, which indicated “uncomfortable” conditions on average summer days at 3:00 p.m. and average winter days at 10:00 a.m. Background noise levels in the classrooms with the air conditioners in use were above the recommended maximum design level of 45 dB(A); levels of up to 65 dB(A) were measured.

Focus group study of endometriosis: struggle, loss and the medical merry-go-round

Women with endometriosis experience a range of problems for which they may or may not be adequately supported. This paper reports on one aspect of a study conducted at the Epworth Hospital, Melbourne, to identify the information needs of women facing laparoscopy for endometriosis. A number of focus groups were conducted that provided women with a forum for communicating their experiences of endometriosis and laparoscopy. The findings include the experiences of 61 women who described the lack of support, the struggles and the losses involved in living with endometriosis. By far the worst experience that these women described was the encounter with health professionals and the ways in which their symptoms were trivialised and dismissed. There is a great deal for nurses to learn about the experience of living with endometriosis if they are to support women with this chronic illness in their search for well-being.

Predictors of the strain experienced by professional Australian footballers

The purpose of this model was to examine whether both the generic dimensions of the Job stress model (JSM) and job-specific stressors would be predictive of the strain experienced by professional Australian footballers. A football-specific stressor scale questionnaire was distributed and football specific stressors and their impact were identified.

Perceptions about the local neighborhood and walking and cycling among children

Background. This study examined associations between perceptions of the local neighborhood and walking and cycling among children. Methods. Children aged 5–6 years (n = 291) and 10–12 years (n = 919) were recruited from 19 Australian primary schools. Parents reported their child's usual walking or cycling to local destinations and their perceptions of their neighborhood. Ten- to twelve-year-olds were asked their perceptions of traffic, strangers, road safety and sporting venues, and their perceptions of their parent's views on these issues. Results. Five- to six-year-old boys whose parents believed there was heavy traffic in their area were 2.8 times more likely (95%CI = 1.1–6.8), and 5- to 6-year-old girls whose parents owned more than one car were 70% less likely (95%CI = 0.1–0.8), and whose parents believed that public transport was limited in their area were 60% less likely (95%CI = 0.2–0.9) than other children to walk or cycle at least three times per week. Parental belief that there were no lights or crossings was associated with walking or cycling among 10- to 12-year-old boys (OR = 0.4, 95%CI = 0.2–0.7). Among older girls, parent's belief that their child needed to cross several roads to reach play areas (OR = 0.4, 95%CI = 0.2–0.8) and that there is limited public transport in their area (OR = 0.7, 95%CI = 0.4–0.97), and child's belief that there were no parks or sports grounds near home (OR = 0.5, 95%CI = 0.3–0.8) were associated with a lower likelihood of walking or cycling. Conclusion. Perceptions of the local neighborhood may influence children's physical activity.

Determining the sex of Little Penguins (Eudyptula minor) in northern Bass Strait using morphometric measurements

In avian species with no obvious differences in plumage or body size between the sexes, such as penguins, discriminant function analysis (DFA) of morphometric measurements that display sexual dimorphism can provide a simple and rapid means of determining sex in the field. Like most other penguin species, the Little Penguin (Eudyptula minor) displays sexual dimorphism in bill shape and size. In the present study, discriminant functions (DFs) were developed for sexing adult Little Penguins at two colonies in northern Bass Strait, Victoria, Australia, and their accuracies were compared with those obtained previously in other parts of the species' range. Backwards stepwise DFA indicated that birds at Phillip Island can be sexed with an accuracy of 91% using a single measurement of bill depth (>13.33 mm classed as males). Similar analyses at Gibson Steps produced a DF incorporating bill length, bill depth and head length [although the model with the greatest accuracy when applied to birds from Phillip Island (91%) also contained only bill depth]. Published DFs derived in New Zealand had accuracies of 50–85% when applied to birds from Phillip Island and Gibson Steps, supporting earlier suggestions that DFs are not applicable across subspecies of the Little Penguin. In contrast, there was little difference between the accuracy of the DFs in the present study and that previously derived for the same subspecies in Tasmania when applied to birds from Phillip Island (89%) and Gibson Steps (92%). However, as the degree of variation in bill size within a subspecies is unknown it may still be prudent to derive colony-specific DFs.

Yet another induction algorithm

Inducing general functions from specific training examples is a central problem in the machine learning. Using sets of If-then rules is the most expressive and readable manner. To find If-then rules, many induction algorithms such as ID3, AQ, CN2 and their variants, were proposed. Sequential covering is the kernel technique of them. To avoid testing all possible selectors, Entropy gain is used to select the best attribute in ID3. Constraint of the size of star was introduced in AQ and beam search was adopted in CN2. These methods speed up their induction algorithms but many good selectors are filtered out. In this work, we introduce a new induction algorithm that is based on enumeration of all possible selectors. Contrary to the previous works, we use pruning power to reduce irrelative selectors. But we can guarantee that no good selectors are filtered out. Comparing with other techniques, the experiment results demonstrate
that the rules produced by our induction algorithm have high consistency and simplicity.

Which work characteristics predict employee outcomes for the public-sector employee? An examination of generic and occupation-specific characteristics

The wide-ranging changes that have occurred in the public sector over recent years have placed increasing demands on public-sector employees. A survey of employees within a relatively commercially-oriented public-sector organization in Australia was used to test a demand-oriented generic model of employee well-being and a variety of situation-specific variables. The presence of support at work and the amount of control an employee had over their job were found to be key predictors of employee-level outcomes. Perceptions of pay and the perception of a lack of human resources (HR) were also found to predict employee outcome variables. The results emphasize the impact that middle managers and HR managers can have in terms of reducing the detrimental employee effects that can be caused by the introduction of new public management (NPM) and the potential for a positive impact on employees. In particular, public-sector managers can use the design of jobs and the development of social support mechanisms, such as employee assistance programmes, to maintain, if not improve, the quality of working life experienced by their employees. More broadly, this study has found that the job strain model is a useful tool in a public-sector environment and is likely to be of increasing utility with the continuing introduction or consolidation of NPM over time. Managing these issues in the new public sector could be a key means of protecting the key resource of the Australian public sector - the employees.

Population health and wellbeing: identifying priority areas for Victorian children

Background
Population health information, collected using soundly-designed methodologies, is essential to inform policy, research, and intervention programs. This study aimed to derive policy-oriented recommendations for the content of a health and wellbeing population survey of children 0–12 years living in Victoria, Australia.

Results
Qualitative interviews were conducted with 54 academic and policy stakeholders, selected to encompass a wide breadth of expertise in areas of public health and inter-sectoral organisations relevant to child health outcomes, including universities, government and non-government agencies across Victoria. These stakeholders were asked to provide advice on strategic priorities for child health information (data) using a structured interview technique. Their comments were summarised and the major themes were extracted. The priority areas of health and wellbeing recommended for regular collection include obesity and its determinants, pregnancy and breastfeeding, oral health, injury, social and emotional health and wellbeing, family environment, community, health service utilisation, illness, and socioeconomic position. Population policy questions for each area were identified.

Conclusion
In contrast to previous population survey programs nationally and internationally, this study sought to extract contemporary policy-oriented domains for inclusion in a strategic program of child health data collection, using a stakeholder consultation process to identify key domains and policy information needs. The outcomes are a rich and relevant set of recommendations which will now be taken forward into a regular statewide child health survey program.

The hairiness of worsted wool and cashmere yarns and the impact of fiber curvature on hairiness

In this study, a range of carefully selected wool and cashmere yarns as well as their blends were used to examine the effects of fiber curvature and blend ratio on yarn hairiness. The results indicate that yarns spun from wool fibers with a higher curvature have lower yarn hairiness than yarns spun from similar wool of a lower curvature. For blend yarns made from wool and cashmere of similar diameter, yarn hairiness increases with the increase in the cashmere content in the yarn. This is probably due to the presence of increased proportion of the shorter cashmere fibers in the surface regions of the yarn, leading to increased yarn hairiness. A modified hairiness composition model is used to explain these results and the likely origin of leading and trailing hairs. This model highlights the importance of yarn surface composition on yarn hairiness.

The construction of the adolescent male body through sport

The present study examined the role played by sport in understanding adolescent males' views about their body. Semi-structured interviews were conducted with 40 adolescent boys aged between 15 and 17 years. An inductive thematic analysis of boys' narratives showed that sport provided adolescent males with a context for discussing their body image. Attributes which males liked about their body were synonymous with those associated with being successful at sport. In addition, sport was used as a forum for competing with other males both through playing sport and by using sport performance to make favourable social comparisons about their body size.

'Does the meaning mean a thing?' Johnny Young's hit songs of the 60s-70s

This article challenges the conventional narratives of Australian popular music history, recognising this as an element of a wider cultural history, using the songwriting career of Johnny Young in the late 1960s and early 1970s. In doing so it refers to the actual song content; ways in which songs and their performers were written about at the time they were released; and the way in which these works have subsequently been regarded and discussed in the conventional historical narrative. It also suggests that Young's own crafted persona, as well as the way he and pop music are typically regarded, have veiled the innovative and radical elements of some of his songs, not only the very well-known 'The real thing', but also hits such as, 'Smiley' and 'The star' .

Mega-events and the "Showcase" effect: investigating the moderating influence of exposure to the 2004 Olympic games telecast and interest in the Olympic movement- an Australian perspective

Survey-based research explored the moderating effects of "exposure" to the Australian free-to-air telecast of Athens 2004 and "interest" in Olympic Games in developing behavioral intentions to visit Greece in the future. Differences were found between groups with low and high levels of exposure to the telecast, and also between groups with high levels of interest in the Olympic Games, but these were only marginal. When the combinatorial influences of these two variables were considered simultaneously, their effects were generally synergistic. The article calls for further research on this area of mega-events, as the results, while of significance, provide food to continue the broader debate on the role of mega-events in developing tourism to their host destinations after their staging.