Sowing the seeds of farmer health

 This book contains a series of chapters developed from presentations made at the 2012 NCFH Conference ‘Sowing the Seeds of Farmer Health’. Each of the chapters helps fulfil the NCFH’s ongoing vision of “inspiring quality education, research and service delivery through innovative partnerships that advance agrihealth locally and globally”. This book provides an opportunity to document and distribute the lessons and innovative approaches developed in the field of agricultural health, wellbeing and safety, and provides a sound basis for ongoing work into the future.

Longitudinal effects of school drug policies on student marijuana use in Washington State and Victoria, Australia

OBJECTIVES: We examined the longitudinal effect of schools' drug policies on student marijuana use. METHODS: We used data from the International Youth Development Study, which surveyed state-representative samples of students from Victoria, Australia, and Washington State. In wave 1 (2002), students in grades 7 and 9 (n = 3264) and a school administrator from each participating school (n = 188) reported on school drug policies. In wave 2 (2003), students reported on their marijuana use. We assessed associations between student-reported and administrator-reported policy and student self-reported marijuana use 1 year later. RESULTS: Likelihood of student marijuana use was higher in schools in which administrators reported using out-of-school suspension and students reported low policy enforcement. Student marijuana use was less likely where students reported receiving abstinence messages at school and students violating school policy were counseled about the dangers of marijuana use. CONCLUSIONS: Schools may reduce student marijuana use by delivering abstinence messages, enforcing nonuse policies, and adopting a remedial approach to policy violations rather than use of suspensions.

'Very inflated rhetoric polysyllables and so on': the public intellectual and jargon in the academy

The public intellectual, by their very definition, aims to reach a large sector of the public or publics. This requires proficiency, or at least the capacity to communicate in a variety of forms. As a large proportion of the public, to which the public intellectual appeals, is an online or cyber public, the importance of blogs in a computer-literate public cannot be under-estimated. The immediacy of the blog and the way in which an online presence facilitates immediate communication between the public and the public intellectual through the posting of comments online allow for a broad recognition of the intellectual in the public arena. My arguments will hinge on my interviews with contemporary American public intellectuals (Noam Chomsky, Howard Zinn, Todd Gitlin, Camille Paglia and Stephen Greenblatt) and their views on communication in a society experiencing a decline in the publication of print media.

Reframing the turn: toward an ethical poetics of eco-elegy & The Counterpart (an excerpted novel)

 This practice-led thesis, comprising of an excerpted literary novel and an extended theoretical essay, explores the relations between ethics, elegy and ecology, and proposes a framework for rethinking an ethical poetics of eco-elegy.

He's not there: velvet goldmine and the spectral Bowie persona

In broad terms, this paper examines what I call Todd Haynes' 'hauntological' approach to the celebrity biopic. More specifically, it focuses on Velvet Goldmine (1998) and argues that Haynes represents Bowie's Ziggy Stardust persona as a series of phantoms in the Derridean sense. That is, figures that are both absent and present, material and immaterial— figures that affirm that no identity can ever be quite complete since the markers of identity are always enmeshed in a network of differences that can be continually re-coded. Haynes' original script contained several Bowie songs, which he was forced to replace when Bowie refused to give him permission to use the music (Bowie claimed he intended to make his own film about his Ziggy Stardust period). Undeterred, Haynes produced a movie that made no direct reference to Bowie by name, yet recoded Bowie's multiple personas and characters in a parallel cinematic world. Haynes' film invites the spectator to re-think Identity in terms of 'contamination' and 'inauthenticity'. He also establishes a genealogical connection between Oscar Wilde (one of the film's many spectres) and Bowie by making several allusions to the parallels between 19th century aestheticism and Glam Rock. In short, I argue that Haynes' film facilitates a critique of the idea that Bowie's shifting identity is merely a question of aesthetic choice, or an expression of any kind of cultural logic. Rather, I argue that the figure of the Derridean phantom offers a new way to read Velvet Goldmine, and to identify the cultural work performed by Bowie's Ziggy Stardust persona.

Conserving koalas: A review of the contrasting regional trends, outlooks and policy challenges

The koala (Phascolarctos cinereus), one of the world's most iconic faunal species, was recently listed under Australian government legislation as vulnerable in the northern states of Queensland and New South Wales and in the Australian Capital Territory, but not in the southern states of Victoria and South Australia. This review synthesises empirical evidence of regional koala population trends, their conservation outlook, and associated policy challenges. Population declines are common in the northern half of the koala's range, where habitat loss, hotter droughts, disease, dog attacks and vehicle collisions are the major threats. In contrast, some southern populations are locally overabundant and are now subject to managed declines. The koala presents the problem of managing a wide-ranging species that now primarily occurs in human-modified landscapes, some of which are rapidly urbanising or subject to large-scale agricultural and mining developments. Climate change is a major threat to both northern and southern populations. The implementation of policy to conserve remaining koala habitat and restore degraded habitat is critical to the success of koala conservation strategies, but habitat conservation alone will not resolve the issues of koala conservation. There needs to be concerted effort to reduce the incidence of dog attack and road-related mortality, disease prevalence and severity, and take into account new threats of climate change and mining. Many of the complex conservation and policy challenges identified here have broader significance for other species whose population trends, and the nature of the threatening processes, vary from region to region, and through time.

Use of expert knowledge to elicit population trends for the koala (Phascolarctos cinereus)

Aim: The koala is a widely distributed Australian marsupial with regional populations that are in rapid decline, are stable or have increased in size. This study examined whether it is possible to use expert elicitation to estimate abundance and trends of populations of this species. Diverse opinions exist about estimates of abundance and, consequently, the status of populations. Location: Eastern and south-eastern Australia Methods: Using a structured, four-step question format, a panel of 15 experts estimated population sizes of koalas and changes in those sizes for bioregions within four states. They provided their lowest plausible estimate, highest plausible estimate, best estimate and their degree of confidence that the true values were contained within these upper and lower estimates. We derived estimates of the mean population size of koalas and associated uncertainties for each bioregion and state. Results: On the basis of estimates of mean population sizes for each bioregion and state, we estimated that the total number of koalas for Australia is 329,000 (range 144,000-605,000) with an estimated average decline of 24% over the past three generations and the next three generations. Estimated percentage of loss in Queensland, New South Wales, Victoria and South Australia was 53%, 26%, 14% and 3%, respectively. Main conclusions: It was not necessary to achieve high levels of certainty or consensus among experts before making informed estimates. A quantitative, scientific method for deriving estimates of koala populations and trends was possible, in the absence of empirical data on abundances.

Incidence and course of adolescent deliberate self-harm in Victoria, Australia, and Washington State

PURPOSE: There have been few longitudinal studies of deliberate self-harm (DSH) in adolescents. This cross-national longitudinal study outlines risk and protective factors for DSH incidence and persistence. METHODS: Seventh and ninth grade students (average ages 13 and 15 years) were recruited as state-representative cohorts, surveyed, and then followed up 12 months later (N = 3,876), using the same methods in Washington State and Victoria, Australia. The retention rate was 99% in both states at follow-up. A range of risk and protective factors for DSH were examined using multivariate analyses. RESULTS: The prevalence of DSH in the past year was 1.53% in Grade 7 and .91% in Grade 9 for males and 4.12% and 1.34% for Grade 7 and Grade 9 females, respectively, with similar rates across states. In multivariate analyses, incident DSH was lower in Washington State (odds ratio [OR] = .67; 95% confidence interval [CI] = .45-1.00) relative to Victoria 12 months later. Risk factors for incident DSH included being female (OR = 1.93; CI = 1.35-2.76), high depressive symptoms (OR = 3.52; CI = 2.37-5.21), antisocial behavior (OR = 2.42; CI = 1.46-4.00), and lifetime (OR = 1.85; CI = 1.11-3.08) and past month (OR = 2.70; CI = 1.57-4.64) alcohol use relative to never using alcohol. CONCLUSIONS: Much self-harm in adolescents resolves over the course of 12 months. Young people who self-harm have high rates of other health risk behaviors associated with family and peer risks that may all be targets for preventive intervention.

Engaging patients and families in communication across transitions of care: an integrative review protocol

AIM: To describe an integrative review protocol to analyse and synthesize peer-reviewed research evidence in relation to engagement of patients and their families in communication during transitions of care to, in and from acute care settings.

BACKGROUND: Communication at transitions of care in acute care settings can be complex and challenging, with important information about patients not always clearly transferred between responsible healthcare providers. Involving patients and their families in communication during transitions of care may improve the transfer of clinical information and patient outcomes and prevent adverse events during hospitalization and following discharge. Recently, optimizing patient and family participation during care transitions has been acknowledged as central to the implementation of patient-centred care.

DESIGN: Integrative review with potential for meta-analysis and application of framework synthesis.

REVIEW METHOD: The review will evaluate and synthesize qualitative and quantitative research evidence identified through a systematic search. Primary studies will be selected according to inclusion criteria. Data collection, quality appraisal and analysis of the evidence will be conducted by at least two authors. Nine electronic databases (including CINAHL and Medline) will be searched. The search will be restricted to 10 years up to December 2013. Data analysis will include content and thematic analysis.

DISCUSSION: The review will seek to identify all types of patient engagement activities employed during transitions of care communication. The review will identify enablers for and barriers to engagement for patients, families and health professionals. Key strategies and tools for improving patient engagement, clinical communication and promoting patient-centred care will be recommended based on findings.