The mental health Risk Assessment and Management Process (RAMP) for schools: II. Process evaluation

The Risk Assessment and Management Process (RAMP) is a whole-school process for the assessment and management of student’s mental health and wellbeing in primary and secondary schools. A process evaluation revealed that RAMP was implemented as intended across six primary and three secondary schools in Melbourne, Australia. Using the RAMP risk and protective factors monitoring form and screening processes, each school identified ‘at-risk’ students who had not previously been identified or received assistance from welfare staff at the school. School staff and mental health workers from local agencies reported improvements in their knowledge of risk and protective factors, and their ability to identify at-risk students following RAMP. They also reported satisfaction in outcomes for at-risk students managed within the school using RAMP. All the primary schools and one of the
secondary schools continued to use some RAMP processes in their school up to 6 months after the initial implementation of the program.

Decision-making models used by `graduate nurses` managing patients` medications

Background. Nurses in a graduate programme in Australia are those who are in the first year of clinical practice following completion of a 3-year undergraduate nursing degree. When working in an acute care setting, they need to make complex and ever-changing decisions about patients' medications in a clinical environment affected by multifaceted, contextual issues. It is important that comprehensive information about graduate nurses' decision-making processes and the contextual influences affecting these processes are obtained in order to prepare them to meet patients' needs.
Aim. The purpose of this paper is to report a study that sought to answer the following questions: What are the barriers that impede graduate nurses' clinical judgement in their medication management activities? How do contextual issues impact on graduate nurses' medication management activities? The decision-making models considered were: hypothetico-deductive reasoning, pattern recognition and intuition.
Methods. Twelve graduate nurses who were involved in direct patient care in medical and surgical wards of a metropolitan teaching hospital located in Melbourne, Australia participated in the study. Participant observations were conducted with the graduate nurses during a 2-hour period during the times when medications were being administered to patients. Graduate nurses were also interviewed to elicit further information about how they made decisions about patients' medications.
Results. The most common model used was hypothetico-deductive reasoning, followed by pattern recognition and then intuition. The study showed that graduate nurses had a good understanding of how physical assessment affected whether medications should be administered or not. When negotiating treatment options, graduate nurses readily consulted with more experienced nursing colleagues and doctors.
Study limitations. It is possible that graduate nurses demonstrated a raised awareness of managing patients' medications as a consequence of being observed.
Conclusions. The complexity of the clinical practice setting means that graduate nurses need to adapt rapidly to make sound and appropriate decisions about patient care.

Regional and urban Victorian diabetic youth: clinical and quality-of-life outcomes

Objectives: To compare groups of urban and regional Victorian diabetic children and assess their quality of life, diabetes knowledge, access to services and metabolic control.

Methods: Forty-seven children from three regional Victorian communities (Horsham, Warrnambool and Sale; n = 16, 18 and 13, respectively) were compared with 120 age-, sex- and duration of diabetes-matched children attending the Royal Children's Hospital (RCH) diabetes clinic in Melbourne. Quality of life, diabetes knowledge, use of services, and metabolic control were assessed using the child health questionnaire (CHQ PF-50/CF-80); a diabetes-knowledge questionnaire; access to a diabetes nurse educator (DNE), dietitian and complication screening; and indices of mean HbA1C (values are taken every 3 months in the 'yearly HbA1C'), respectively.

Results: Comparisons of CHQ data showed that regional diabetic youth scored significantly lower on most subscales. The greatest deficits were seen in areas of mental health, self-esteem, parent impact (emotional) and family cohesion. Diabetes knowledge and median yearly HbA1C for patients were not significantly different between the regional and urban centres (8.1%, 8.9%, 8.4% and 8.6% at RCH, Horsham, Warrnambool and Sale, respectively). Patients in regional centres had reportedly less access to team-based diabetes care.

Conclusions: Regional youth in Victoria, with similar levels of metabolic control and diabetes knowledge as their urban counterparts, have a markedly lower quality of life, implying a negative synergy between diabetes and the demands of regional lifestyles.

Information systems and business informatics: an Australian German comparison

At last year's ACIS conference in Melbourne a panel titled 'IS: A discipline in crisis' discussed issues relating to be in disability of IS in Australia. It is not, however, just the Australian IS discipline that must deal with problems such as the need for better organisational structures and greater visibility in universities. This paper presents a comparison between the German Business Informatics discipline and the Australian Information Systems discipline. The objective is to provide another perspective on the IS discipline to raise new ideas and stimulate discussion with reference to the organisational structure of our discipline in universities.

Irish theme pubs : an evaluation of environmental cues

A major phenomenon in hospitality retailing in recent years has been the growth in Irish theme pubs. These pubs consist of a collection of both tangible and intangible attributes referred to as environmental cues or atmospherics. Although environmental cues have been found to have a significant influence on consumer behaviour, little research has been conducted into their effects within Irish theme pubs. Using an established research framework, the aims of this study were to identify and evaluate environmental cues within Irish theme pubs and to establish how the dimensions of this framework influenced customers of Irish theme pubs in Melbourne. Qualitative interviews were conducted with customers of six selected Irish theme pubs and with the owners of these establishments. Whilst confirming the impOliance of environmental cues to Irish theme pub customers, the study also provides information that has application for hospitality retailers.

Persuasions

A collection of writings shared at readings in Melbourne or Geelong including the 2000 DLS Writers' Weekend held on the Geelong Campus of Deakin University.

Yoga as a preventative and treatment for depression, anxiety and stress

With the dual aims of better understanding the contribution of Yoga to positive mental health and exploring links between yogic philosophy and psychological theory, researchers at Deakin University in Melbourne, Australia, conducted a study on Yoga as a preventative and treatment for symptoms of mental illness. The Yoga classes were designed as a six-week program incorporating breathing techniques (prânâyâma), exercises for strength, vitality, and flexibility (âsanas), guided relaxation (yoga-nidrâ), and meditation. The aim of this process was to enhance self-awareness, encourage the perspective that emotional states are somewhat transient, and encourage a self-accepting and calm attitude through concentrating on synchronizing gentle movements and breathing. By developing calmness, selfacceptance, a balanced perspective, and enhanced concentration it was hypothesized that participants in the six-week Yoga program would strengthen their resistance to emotional distress. Psychometric testing was carried out to assess symptoms of stress, anxiety, and depression across three groups: regular Yoga practitioners, beginners entering the program, and people who did not practice Yoga, and these tests were re-administered after six weeks. In addition, a strong sense of intrinsic spiritual experience has been cited as a possible buffer to stress, anxiety, and depression and has been associated with decreased frequency of medical symptoms. All participants were therefore also assessed on their sense of intrinsic spirituality, but not on religious beliefs. At the end of six weeks, the Yoga beginners group showed lower average levels of symptoms of depression, anxiety, and stress than at commencement, but levels were stable for regular Yoga practitioners and people who did not practice Yoga. In addition, beginners showed growth in their self-reported level of intrinsic spiritual experience.

A gendered view of computer professionals: preliminary results of a survey

The under-representation of women in the computing profession in many parts the western world has received our attention through numerous publications, the noticeable low representation of women at computer science conferences and in the lecture halls. Over the past two decades, the situation had become worse. Please refer to the other articles in this special issue for detailed statistics, a discussion of factors that contribute to the low participation rate by women, and for suggestions on how to reverse the current trend.This paper seeks to add to the dialogue by presenting preliminary findings from a research project conducted in four countries. The aim of this research was to gain an insight into the perceptions future computer professionals hold on the category of employment loosely defined under the term of "a computer professional." One goal was to get insight into whether or not there is a difference between female and male students regarding their view of computer professionals. Other goals were to determine if there was any difference between female and male students in different parts of the world, as well as who or what most influences the students to undertake their courses in computing.The team of researchers gave an extensive questionnaire to undergraduate students enrolled in a variety of computing degree programs. The students enrolled in these programs at Victoria University of Technology in Melbourne, the University of East London, the Chinese University of Hong Kong, and Ithaca College located in Ithaca, New York. This article reports on the analysis of the results from the questionnaire. It discusses the gender differences in the responses from the students in these countries to try to get a worldwide perspective. At this time, it does not yet report on the similarities and differences between the groups of participants from each of the four countries. Instead, it investigates whether there are gendered differences in the views of this rather broad sample of student population of future computer professionals.

'Learning to cooperate': a study of how primary teachers and children construct classroom cultures

This paper reports on the findings of a study, the 'Constructing Classroom Cultures' project, funded by a small Australian Research Council grant at the University of Melbourne. Located in three primary school classrooms in Melbourne, Victoria, this study investigated how teachers and grade 3-4 students develop shared values and understandings concerning formal and informal codes of behaviour. Drawing on classroom observations, individual interviews with teachers and focus group interviews with children, this paper discusses the ways that teachers and children together build classroom cultures. Practices that work to produce supportive classroom environments as well as problem areas are identified. Examining classroom cultures at the micro-political level offers scope for considering how power relations can contribute positively to educational processes. Additionally, the ways in which informal interactions between teacher and students and among students call into play collaboration, compliance and resistance are opened up for examination. These case studies aim to contribute to understanding how productive classroom cultures are constructed in day-to-day interactions, a significant area of concern for teachers and teacher education students.

Editorial

In this issue of Papers we publish essays based on a selection of conference papers at the Seventh International Conference of the Australasian Children’s Literature Association for Research (ACLAR) held in Melbourne on 13-14 July, 2006. The cover of this issue replicates Kathryn James’s design for the conference programme, with its clever image of the ‘undercover child’ reading a comic. The theme of the conference emphasised newness: new texts, technologies, readings and readers, and the essays we present here traverse a variety of concepts and texts within this framework.

SOSE curriculum structures: Where to now?

The article discusses the Studies of Society and Environment (SOSE) curriculum structures which was originally given at the Australian Curriculum Studies Association Conference held on July 8-10, 2007 in Melbourne, Victoria. It is noted that Key Learning Areas (KLAs) as curriculum organizers was introduced across all Australian States and Territories. An overview of a debate about the purpose and nature of SOSE is given. It also examines political attempts toward a national curriculum as a factor shaping the future of SOSE.

Detection of phospholipase a activity from campylobacter concisus

This was a conference oral presentation at the 2002 ASM Annual Scientific Meeting in Melbourne.

Hope for sufferers of depression

The ultimate goal of the Language of Depression project conducted by linguists at Deakin University and psychiatrists at the Monash Medical Centre in Melbourne is to provide training programs for Acute Hospital staff to identify early their patients who suffer from depression and refer them to consultation- psychiatrists or psychologists for help. To date, only case studies from this project of 40 subjects have been reported. This paper presents the preliminary findings of the study of the language of depressed Acute Hospital patients. The generic structure of the data set will be described; the role and findings of the application of the WordSmith 3 concordance will be outlined; and in particular the semantic matches of features of depression will be presented. These are drawn especially from the application of APPRAISAL analysis. If Acute Hospital patients are listened to with the insights from these findings, with referral, they should receive help to curtail their suffering and be given hope of improvement and even the prospect of recovery from their depression.

Interactive dance performance : movement data and the 'materiality' of the system

This paper describes a recent performance work I made using dance and live feed video
processing, 1 + x: mid-range projections, commissioned by the Seoul Contemporary Dance
Company and first performed in Melbourne in July 2005. This work forms a basis for discussing
my interest in creating performance images that reveal 'interiority'. I am interested in how you
embed the 'feel' of the human systematically in an interactive structure, and how that process
can produce a poetic that arises from the detailed and nuanced play between real and virtual
images on the same screen. How do you abstract and play with a performer's movement, play
with it in real and virtual time, so that it gives the work an emotional charge? Its like playing with
the process of 'becoming virtual' - and I'm being deliberately Deleuzian about that - how do you
'become virtual' in the sense of melding performer and image so that the meaning exists
between - in the connection between the two?

This quest to get the energy, the 'lived', 'felt' quality of the movement into the imagery gives rise
to research questions about how 'presence' is perceived in movement. What elements of the
raw movement data do you need to keep and what can you throwaway, and still keep the
personality, the emotion, the 'life' of that movement? How do you make a virtual, interactive
performance system that has its own 'materiality'?

Children's literature matters

This volume is the product of the third conference of the Australian Children's Literature Association for Research held in Melbourne October 1999. The papers presented comprise an interesting cross section of current concerns about children's literature by the Australasian research community.