Food insecurity among university students in Victoria: A pilot study

Aims: Susceptibility to food insecurity can vary over a life course; however, a potential period of particular vulnerability is while studying at a tertiary institution. This pilot study aimed to assess the prevalence, severity and potential determinants of food insecurity among tertiary students attending a Victorian-based institution. Methods: The present study employed a cross-sectional design, involving use of a self-reported questionnaire. The survey, conducted in 2012, was administered to a sample of 124 Deakin University students and contains measures of food insecurity status, demographics and other potential explanatory factors. Descriptive and regression analysis was undertaken to investigate the prevalence of food insecurity and associations with factors that may support or hinder a student's ability to procure food, such as living arrangements, income and knowledge of support services. Results: Food insecurity without hunger was reported by 18% of Deakin University students, while an additional 30% reported experiencing the more severe form of food insecurity (with hunger). A lower odds of being food insecure was reported among students living with their family (without hunger OR 0.35; 95% CI 0.12-0.99; with hunger OR 0.29; 95% CI 0.12-0.70), while a higher odds was found among those receiving government support (with hunger OR 2.52; 95% CI 1.05-6.04). Conclusions: The reported prevalence of food insecurity among the tertiary student sample was greater than the general Australian population, suggesting they are a vulnerable group. This may be attributable to financial pressures faced when students are not living with their parents.

Interview with Dr Ray Anere (d. 2015)

The late Dr Ray Anere was a Papua New Guinean who studied in Australia at the Australian National University in 1982 - 1985. He was awarded an Australian International Development Assistance Bureau (AIDAB) scholarship and completed a Master degree in Arts. He later completed a PhD at Claremont University in California, USA under a Fulbright Scholarship. Dr Anere was a Senior Research Fellow at the National Research Institute in PNG and maintained strong connections with Australia and with the USA. Dr Anere was a member of the PNG USA Alumni Association and the PNG Australia Alumni Association. Dr Anere passed away in April 2015. The interview was conducted in English on 17 December 2014 by Dr Musawe Sinebare and Mr Gande James, both of Pacific Adventist University. This set comprises: an interview recording, a timed summary and a photograph.

Everything that matters is silvery white

When Jared Diamond asked acclaimed evolutionary biologist Ernst Mayr why Aristotle didn’t come up with the theory of evolution, Mays answered frage stellen or ‘a way of asking questions’ (ABC 2013). The idea that a particular way-of-asking might generate a particular way-of-knowing is applicable to the practice of creative writing. Modjeska unpacks the concept of ‘temporising’ (2002: 75), inviting us to consider the generative possibilities of the temporising space – as an imaginative space for writers – a way of asking questions.Research contributionThis work enacts the concept of temporising at the level of form and content, interrogating the connection between language and imagery, and the work of association and similarity and, following Aristotle, recognises the temporising space as a metaphorical playground. This method of asking questions involves alogical processes of association: supporting Freud’s ‘reciprocal relations’ between dissimilars (1900: 404) and Froeschels’ observation that ‘the subconscious [mind] considers similarity identical with identity’ (qtd. in Mavromatis 1987: 178).Research significanceThis work uses Modjeska’s analysis, and theories of subconscious processes of association, to enact an inquiry in the performative narrative space of the short story. It has been longlisted for the Australian Book Review’s Elizabeth Jolley Prize (2014) and the Séan Ó Faoláin International Short Story Competition (Ireland) (2015), and was also a finalist in the Glimmer Train International Fiction Open Contest (USA) (2015).

Study protocol: the registrar clinical encounters in training (ReCEnT) study

Background
Patient encounters are the core learning activity of Australian general practice (family practice) training. Exposure to patient demographics and presentations may vary from one general practice registrar (vocational trainee) to another. This can affect comprehensiveness of training. Currently, there is no mechanism to systematically capture the content of GP registrar consultations. The aim of the Registrar Clinical Encounters in Training (ReCEnT) study is to document longitudinally the nature and associations of consultation-based clinical and educational experiences of general practice registrars.
Methods/design
This is an ongoing prospective multi-site cohort study of general practice registrars’ consultations, entailing paper-based recording of consultation data. The study setting is general practices affiliated with three geographically-based Australian general practice regional training providers. Registrars record details of 60 consecutive consultations. Data collected includes registrar demographics, details of the consultation, patient demographics, reasons for encounter and problems managed. Problems managed are coded with the International Classification of Primary Care (second edition) classification system. Additionally, registrars record educational factors related to the encounter. The study will follow the clinical exposure of each registrar six-monthly over the 18 months to two years (full-time equivalent) of their general practice training program.
Conclusions
The study will provide data on a range of factors (patient, registrar and consultation factors). This data will be used to inform a range of educational decisions as well as being used to answer educational research questions. We plan to use ReCEnT as a formative assessment tool for registrars and help identify and address educational needs. The study will facilitate program evaluation by the participating training providers and thus improve articulation of educational programs with practice experience. From the research point of view it will address an evidence gap – the in-practice clinical and educational experience of general practice trainees, determinants of these experiences, and the determinants of registrars’ patterns of practice (for example, prescribing practice) over the course of their training.

The use of mixed methods in drug discovery: integrating qualitative methods into clinical trials

Contemporary methods in clinical trials are pivoted around hypothesis confirmation, not generation. This is a problem for new drug discovery, since the pharmacokinetic or receptor profile of most novel agents do not link to pathophysiology, which is very poorly understood. Therefore, it is difficult to impute the therapeutic potential of a candidate agent. Most psychotropic agents were discovered serendipitously, either through careful clinical observation or by researchers finding unexpected associations in datasets. Methods that increase the ability to detect latent signals in data are needed. These include mixed methods that incorporate qualitative methods into randomized controlled trials.

This chapter proposes a methodology for the integration of mixed methods in clinical trials, fusing qualitative and quantitative methods, and presents an exemplar using this approach.

Mixed methods show potential for signal detection, hypothesis generation, and associations that may be otherwise undetected in traditional clinical trials.

Personality disorders in the community

Just under half of all people with psychiatric disorders, have a co-existing chronic physical illness. However, less attention has been paid the physical health outcomes of
individuals living with these disorders in the general population, or their
treatment seeking behaviors. In absence of these data, we do know those living
with PD encounter disability and suffer significantly. The aims of this thesis,
were to investigate the prevalence of PDs, and associations with physical
health comorbidities, and health service utilization, in population-based
samples (≥20 years), from Australia, and the United States (US).