Injury prevention during physical activity in the Australian Defence Force

Introduction:
Injuries sustained by Australian Defence Force (ADF) personnel during non-combat military training and sports activity are associated with increasing costs due to work days lost, medical treatment, compensation, and early retirement. In 2001, the ADF commissioned a systematic review of the evidence-base for reducing injuries associated with physical activity, while at the same time improving physical activity participation rates to sustain a trained, fit and deployable workforce.

Method:
Literature from on-line library databases, relevant unclassified military reports, and material from previously published sport-specific injury countermeasure reviews were systematically and critically analysed to address the study aims.

Results:
Modification of intensity, frequency and duration of basic military training activities and improved equipment is likely to reduce injury occurrence. Sports injury countermeasures used for the civilian population have merit for the ADF physical activity program. Injury countermeasures should be designed to minimise any possible deterrent effect on the motivation to participate in regular physical activity. Increasing the participation of ADF personnel in physical activity in the presence of evidence-based injury prevention strategies has the potential to increase health, fitness and deployability with minimal impact on injury frequency.

Conclusion:
Recommendations arising from the review include injury intervention trials in basic military training and sports. These and other interventions should be supported by refinement to ADF injury surveillance systems. Research should focus on interventions with the greatest gain for fitness, deployability, and cost effectiveness.

Integration of an internet-driven supply chain for a medium-size e-commerce company

This research aimed at discovering the benefits and challenges of integration across a company's e-supply chain. The research involved a single case study of an Australian e-commerce company. In our work, we first formed a framework of benefits and challenges for e-supply chain integration, which was based on the beliefs held by management consultants. After conducting interviews with various organisational stakeholders of an e-commerce company, we found that although some of the elicited opinions matched those expressed by consultants, others provided their refinement in respect to a medium size, rapidly evolving, start-up company. We also discovered challenges, seemingly ignored by the consultants, which concerned changing market conditions and limited economies of scale perceived as seriously impeding SCM integration. Also, the ability to develop and maintain scalable and effective information systems was found to impact the capacity to integrate services across the e-supply chain. The case study's single most important contribution was to bring to our attention the importance of organisational and environmental maturity in the strategic planning of the supply chain management process.

Equity-focused health impact assessment framework

Background to the Development of the Equity-Focused HIA Framework
The equity focused health impact assessment (EFHIA) framework arises out of a two year research project funded for the most part by the Australian Government’s Public Health Education Research Program (PHERP) Innovations Grants (Round 2) scheme. This project had as its primary objective the development of a framework for health inequalities impact assessment, subsequently renamed equity focused health impact assessment. A partnership between the University of Newcastle, Deakin University and the University of New South Wales (the Project Management Steering Committee) received the funding and the Australasian Collaboration for Health Equity Impact Assessment (ACHEIA) was formed to undertake appropriate background research and to develop, pilot test, modify and disseminate the framework. The work commenced in September 2002 and concluded in October 2004. Part of the funding included a capacity building workshop in August 2004. ACT Health and the Division of Medicine at the John Hunter Hospital, Newcastle, also provided financial support for the project. The August 2004 Workshop was supported by NSW Health. All participants and organisations involved in the project gave extensive in-kind support.
The aims of the workshop were to bring together an international collaboration of multidisciplinary investigators, public health experts, and key senior health managers working in national, state and local settings, to inform the further development of the framework and to provide training in its application. The initial goals of the project were to work collaboratively to develop a strategic framework to assess the health inequalities of public health-related policies, plans, strategies, decisions, programs and services. The EFHIA framework as presented at the August workshop was developed through:
1. an extensive review of the relevant literature
2. formal and informal consultation with members of ACHEIA (the international
reference group), members of the Project Management Steering Committee and
other relevant experts; and
3. testing of the draft EFHIA framework with the 5 case study partners – who applied the draft framework in a range of health settings (see
Acknowledgements).
The result of this work has been the development of an equity focused health impact assessment framework that can be used to determine the unanticipated and systemic health inequities that may exist within the decision making processes or activities of a range of organisations and sectors. The EFHIA framework provides one approach that can be used to assist decision makers to put equity and health on their agenda in a more obvious and systematic way. The framework represents a ‘moment in time’ rather than a definitive statement or ‘toolkit’ on the best way to proceed. Further practice, refinement and adjustment will be needed over many years to consolidate both HIA and EFHIA. As well as this guide to the framework, additional outputs from the project team include:
- A literature review
- A position paper
- A report on the five case studies
- An evaluation report.
With the consent of the Australian Government, a monograph will be made available to workshop participants at the end of October which contains the framework and the appropriate background papers.

Solidification of cast magnesium alloys

A description of the key solidification steps in the formation of the as-cast microstructure of magnesium alloys is presented. The focus is on the two common magnesium alloy groups: Mg-Al alloys and Mg-Zn-rare earth alloys. The key elements described are: nucleation (including grain refinement), growth of the primary phase and the formation of the eutectic phases. In addition the effect of casting process (e.g. high-pressure diecasting and sand casting) on the outcomes from solidification are discussed. This includes consideration of the formation of banded defects during solidification in the dynamic environment of high pressure die casting.

Ethical perspective on sustainable business practices

This paper considers contemporary business practice and its sustainable performance from the view of stakeholder value. Stakeholder value is a broad concept and implies that a company has responsibilities and commitments to many different internal and external stakeholders in the marketplace and society, not only to its investors and the owners of the company, but also to its employees, customers, suppliers, societies and the environment. This view underlines the need for organisations to, not only provide value, but do so in a sustainable and socially responsible manner.

In considering the stakeholder value perspective of contemporary business practice, the authors proffer that undertaking an ethical perspective in corporate business practices will result in long term sustainable and socially responsible performance that delivers superior stakeholder value. In order to operationalise this concept a model is developed based on five, separate but interconnected, elements: (i) Foundation, (ii) Communication, (iii) Guidance, (iv) Outcome, and (v) Reconnection. The authors emphasise that the model is iterative and acknowledge its elementary state, suggesting further development and refinement in the field of sustainable business practices from an ethical perspective.

Fine grained AZ31 produced by conventional thermo-mechanical processing

The magnesium alloy AZ31 was processed by severe hot rolling and annealing. This processing was optimised to produce recrystallised grain sizes as small as 2.2 μm. The texture of the processed plate was similar to that of the as-received material, with a strong basal alignment in the normal direction. Tensile testing of the fine grained material showed an increase in the strength and elongation compared to the as-received plate. It is  concluded that the improved mechanical properties of the fine grained material results from a refinement in the grain size and the elimination of shear bands that pre-exist in the as-received material.

Enhanced tensile ductility of an ultra-fine-grained aluminium alloy

Aluminum alloy 6082 was subjected to equal-channel angular pressing (ECAP), which resulted in an ultra-fine-grained (UFG) microstructure with an average grain size of 0.2–0.4 μm. There was a pronounced effect of the grain refinement on the strain-rate sensitivity and tensile ductility. The Hart criterion of tensile necking fails to explain the observed ductility of the UFG material at low strain rates. A correlation between the observed stronger-than-expected ductility and a tendency to microshear band formation at low strain rates was established.

Dependency of recrystallization mechanism to the initial grain size

The effect of initial grain size on the recrystallization behavior of a type 304 austenitic stainless steel during and following hot deformation was investigated using hot torsion. The refinement of the initial grain size to 8 μm, compared with an initial grain size of 35 μm, had considerable effects on the dynamic recrystallization (DRX) and post-DRX phenomena. For both DRX and post-DRX, microstructural investigations using electron backscattered diffraction confirmed an interesting transition from conventional (discontinuous) to continuous DRX with a decrease in the initial grain size. Also, there were unexpected effects of initial grain size on DRX and post-DRX grain sizes.

Stereo correspondence estimation using multiwavelets scale-space representation-based multiresolution analysis

A multiresolution technique based on multiwavelets scale-space representation for stereo correspondence estimation is presented. The technique uses the well-known coarse-to-fine strategy, involving the calculation of stereo correspondences at the coarsest resolution level with consequent refinement up to the finest level. Vector coefficients of the multiwavelets transform modulus are used as corresponding features, where modulus maxima defines the shift invariant high-level features (multiscale edges) with phase pointing to the normal of the feature surface. The technique addresses the estimation of optimal corresponding points and the corresponding 2D disparity maps. Illuminative variation that can exist between the perspective views of the same scene is controlled using scale normalization at each decomposition level by dividing the details space coefficients with approximation space. The problems of ambiguity, explicitly, and occlusion, implicitly, are addressed by using a geometric topological refinement procedure. Geometric refinement is based on a symbolic tagging procedure introduced to keep only the most consistent matches in consideration. Symbolic tagging is performed based on probability of occurrence and multiple thresholds. The whole procedure is constrained by the uniqueness and continuity of the corresponding stereo features. The comparative performance of the proposed algorithm with eight famous existing algorithms, presented in the literature, is shown to validate the claims of promising performance of the proposed algorithm.

T-Shaped equi-channel angular pressing of Pb-Sn eutectic and its tensile properties

Equi-channel angular pressing (ECAP) of a Pb–Sn eutectic alloy up to six passes in a T-shaped die, rather than a conventional L-shaped die, was studied for grain refinement. The effect of ECAP on the hardness and tensile properties was studied. Microstructure predominately changed in the early part of the ECAP process and became equiaxed and uniformly distributed in both the longitudinal and the transverse sections after four passes. There occurred substantial softening over the first two passes—hardness of 10 Hv, yield strength of 14.2 MPa and tensile strength of 16.3 MPa in the as-cast condition decreased upon two passes to 6 Hv, 9.7 MPa and 13.0 MPa, respectively. The ductility (% elongation) increased drastically from <50% in the as-cast condition to 150% upon two passes, and further increased to 230% after four passes. Various tensile properties and concurrent microstructural evolution were used to develop a mutual relationship among them.

Depth estimation of metallic objects using multiwavelets scale-space representation

The problem of dimensional defects in aluminum die-castings is widespread throughout the foundry industry and their detection is of paramount importance in maintaining product quality. Due to the unpredictable factory environment and metallic with highly reflective nature, it is extremely hard to estimate true dimensionality of these metallic parts, autonomously. Some existing vision systems are capable of estimating depth to high accuracy, however are very much hardware dependent, involving the use of light and laser pattern projectors, integrated into vision systems or laser scanners. However, due to the reflective nature of these metallic parts and variable factory environments, the aforementioned vision systems tend to exhibit unpromising performance. Moreover, hardware dependency makes these systems cumbersome and costly. In this work, we propose a novel robust 3D reconstruction algorithm capable of reconstructing dimensionally accurate 3D depth models of the aluminum die-castings. The developed system is very simple and cost effective as it consists of only a pair of stereo cameras and a defused fluorescent light. The proposed vision system is capable of estimating surface depths within the accuracy of 0.5mm. In addition, the system is invariant to illuminative variations as well as orientation and location of the objects on the input image space, making the developed system highly robust. Due to its hardware simplicity and robustness, it can be implemented in different factory environments without a significant change in the setup. The proposed system is a major part of quality inspection system for the automotive manufacturing industry.

Formation of ultrafine ferrite by dynamic strain-induced transformation

In the current study, the role of dynamic strain induced transformation on ferrite grain refinement was investigated using different thermomechanical processing routes. A Ni-30Fe austenitic model alloy was also employed to study the evolution of the deformation structure under different deformation conditions. It was shown that the extreme refinement of ferrite is more likely due to the formation of extensive high angle intragranular defects in the austenite through deformation. Among the different thermomechanical parameters, the deformation temperature had a significant effect on the intragranular defect characteristics. There was a transition where the cell dislocation structure changed to laminar microband structures with a decrease in the deformation temperature. Moreover, the ultrafine grained structure was also successfully produced through static transformation using warm deformation process; in other words, concurrent deformation and transformation are not necessary for ultrafine ferrite formation.

Integrated supply chain construction ecosystem management

Agenda 21 may be considered the most significant programme of action influencing environmental policy for the Australian development and construction industry. The industry has remained one of the most rapidly expanding sectors; yet, we have seen the gradual process of exhausting natural resources and irreversible environmental degradation. Even with the introduction of numerous new environmental policies, it remains questionable as to whether real improvements have occurred across the industry. Legislative mechanisms to direct on-site environmental management appear deficient; information flows between participants along the supply chain appear to impact upon environmental management performance; and industry fragmentation remains compounded by ill-defined external, non-contractual supply chain influences that directly impact on contractual systems. Limited research has considered construction supply chain theory and environmental management particularly in reference to policy. The literature highlighted a need to develop a supply chain model which seeks to integrate chain actors and government regulators through holistic information management. The model assumes that fundamental to industry change is statutory control to mandate construction environmental management plans. However, industry change and subsequent environmental management rely upon effective information dissemination. The next stage involves model refinement, investigating barriers and enablers to widespread diffusion of such an innovative integrated environmental management system.

MOSAIC (MOthers' Advocates In the Community): protocol and sample description of a cluster randomised trial of mentor mother support to reduce intimate partner violence among pregnant or recent mothers

Background : Intimate partner violence (IPV) is prevalent globally, experienced by a significant minority of women in the early childbearing years and is harmful to the mental and physical health of women and children. There are very few studies with rigorous designs which have tested the effectiveness of IPV interventions to improve the health and wellbeing of abused women. Evidence for the separate benefit to victims of social support, advocacy and non-professional mentoring suggested that a combined model may reduce the levels of violence, the associated mental health damage and may increase a woman's health, safety and connection with her children. This paper describes the development, design and implementation of a trial of mentor mother support set in primary care, including baseline characteristics of participating women.

Methods/Design : MOSAIC (MOtherS' Advocates In the Community) was a cluster randomised trial embedded in general practice and maternal and child health (MCH) nursing services in disadvantaged suburbs of Melbourne, Australia. Women who were pregnant or with infants, identified as abused or symptomatic of abuse, were referred by IPV-trained GPs and MCH nurses from 24 general practices and eight nurse teams from January 2006 to December 2007. Women in the intervention arm received up to 12 months support from trained and supported non-professional mentor mothers. Vietnamese health professionals also referred Vietnamese women to bilingual mentors in a sub-study. Baseline and follow-up surveys at 12 months measured IPV (CAS), depression (EPDS), general health (SF-36), social support (MOS-SF) and attachment to children (PSI-SF). Significant development and piloting occurred prior to trial commencement. Implementation interviews with MCH nurses, GPs and mentors assisted further refinement of the intervention. In-depth interviews with participants and mentors, and follow-up surveys of MCH nurses and GPs at trial conclusion will shed further light on MOSAIC's impact.

Discussion : Despite significant challenges, MOSAIC will make an important contribution to the need for evidence of effective partner violence interventions, the role of non-professional mentors in partner violence support services and the need for more evaluation of effective health professional training and support in caring for abused women and children among their populations.

Towards cultural competence : Australian Indigenous content in undergraduate psychology

This paper discusses the development and preliminary analysis of psychology undergraduate courses on cultural competence in relation to Indigenous Australians. The paper summarises the process that led to the formation of draft curriculum guidelines for psychology academics, including the need to critically examine the assumptions and history of Western psychology in relation to Indigenous peoples, the inclusion of non-conventional teaching and learning methods, staff and institutional support, and appropriate staff development. The paper then discusses the responses of students to one of the courses developed from these guidelines. The courses were well received by students and although they do not in themselves teach professional psychological skills in working effectively with Indigenous people, they provide a solid basis for the development of such skills. Because this is a relatively new area, it is likely that there will be much refinement of these courses in coming years.