Ischaemic heart disease and Australian immigrants: the influence of birthplace and language skills on treatment and use of health services

Admission rates for ischaemic heart disease (IHD), and the use of invasive cardiovascular procedures, separation mode and length of stay (LOS) were compared between Australians from non-English speaking background (NESB; n=8627) and English speaking background (ESB; n=13162) aged 20 years and over admitted to Victorian urban public hospitals. The study covered the period from 1993 to 1998. It was found that, compared with their ESB counterparts, the incidence of admission for acute myocardial infarction was significantly higher for NESB men and women before and after controlling for confounding factors. The age-adjusted ratios for NESB women compared with their ESB counterparts ranged from 1.23 to 1.89 for cardiac catheterisation, from 0.23 to 0.27 for percutaneous transluminal coronary angioplasty (PTCA), and from 1.04 to 1.80 for coronary artery bypass grafting (CABG).
Procedure rates were comparable in men for cardiac catheterisation and CABG but higher for PTA rates in NESB men (OR: 1.29, 95%CI: 1.11-1.50) than their ESB counterparts. Both NESB men (β=0.04, 95%CI: 0.01-0.07) and women (β=0.03, 95%CI: 0.02-0.08) experienced significantly longer hospital stays than their ESB counterparts. These findings indicate there may be systematic differences in patients’ treatment and service utilisation in Victorian public hospitals. The extent to which physicians’ bias and
patients’ choice could explain these differences requires further investigation.

Simulation to practice: developing nursing skills in mental health: an Australian perspective

A variety of developments in nursing education in Australia including some innovative and exciting models, educational enterprises between education and industry, and evidence of developing strengths in research and professional alliances on a national level have been discussed recently. This paper presents Simulation to Practice as an example of an educational program that can maximise skill mastery for nurses in mental health fields as practised by Deakin University in Victoria, Australia. The program is multimodal and is under-pinned by a problem-solving approach and has an online presentation. The extension of nursing skills through this approach encourages nurses to take theoretical skills to practice during these scenarios which help student nurses to gain experience through simulated real life characters. These sessions, while challenging at the time, were highly valued by students and seen as a beneficial part of their learning as a beginning nurse and often instrumental in moving comprehensively trained students into mental health careers.

Chronicles of architectural internships : student experiences versus practitioner expectations

This paper presents preliminary analysis and data gathered for a master of architecture by research study which seeks to explore the value of student work experience in architecture. It describes the theoretical framework upon which internships provide certain technical and professional knowledge and are regarded as an integral element of professional education. Until the last decade, internship in the architecture profession has received surprisingly little attention from researchers. Structural constraints unique to the architectural profession present challenges to how student work experience/internships can be sustained and it is pertinent to examine its precise relevance for the future. Vignettes of student learning experiences are presented and discussed against vignettes of practitioner expectations. The data in this study have been collected using combined methods of semistructured and open interviews and a qualitative approach to analysis of data. The opportunity to test the results in the architectural practice experience unit currently offered as a one credit earning elective for the architecture degree program at Deakin University will be discussed. It expects to prompt exploration into the potentially potent and broader pedagogical outcomes of a form of work-integrated learning (WIL) framework for students of built environment professions in the future.

Whose history? Whose heritage? Positing a sustainable future for Point Nepean, Victoria

Australia's national heritage comprises exceptional natural and cultural places which help give Australia its national identity. This paper reports on work in progress. It critically and reflectively explores the bonds and  limitations between the work of historians, heritage professionals and ‘free thinkers’ – architects, artists and writers – in the task of identifying, protecting and interpreting the possibilities and opportunities presented by our cultural heritage at Point Nepean, Victoria. Underway is the development of an extensive knowledge database, as historians grapple with the problem of understanding the complex history of Point Nepean. Historians and heritage professionals aspire to recreate the past; they search for the patterns of history; they use historical evidence to gain political objectives; they distil insights from the historical record itself. While scholarship and rigorous procedures are generally adhered to, much hangs on interpretation and perspective; how documentation and imagination are interwoven; on how and by whom the story is told. Once a place is listed on National and/or State registers, the conservation process is invoked for transferring information about the past into the future, using current skills, knowledge and  techniques. In Australia conservation is underpinned by the principle that change to a heritage place should not occur at the expense of its special character and qualities, by what is described as its heritage significance. This requires that approval be obtained before any action takes place which has, will have, or is likely to have, a significant impact on the national heritage values of a listed place. Conflict in heritage management arises because there are many different views on how different values are  managed. It is the role of the architectural historian, conservation architect and architect to creatively reveal the inherent values, to interpret them and sustain the place into the future, never losing sight of Point Nepean’s unique ‘sense of place’.

Developing critical thinking skills through active teaching and learning strategies: a literatre review

Clinical decision-making is an integral part of nursing practice. Critical thinking skills are required by nurses to make effective clinical decisions that have positive outcomes. This paper is a review of literature related to critical thinking and decision making and identifies the teaching and learning strategies that are most likely to encourage these abilities in nurses.

Accounting graduates' perceptions of skills emphasis in undergraduate courses: an investigation from two Victorian Universities

This study investigated the emphasis placed on technical and generic skills developed during undergraduate accounting courses from the graduate perspective. It is motivated by two issues. First, calls by the accounting profession and international education committees regarding the professional adequacy of graduates. Second, the challenge facing educators and professional bodies to design accounting courses that address a diverse range of needs from students, the educational philosophy of the institution, and the changing dynamics of global business. Data obtained from 310 graduates from two Victorian universities provided insights into the types of skills development considered necessary for a successful accounting career.

A ring-based architectural model for middle agents in agent-based system

In agent-based systems, the performance of middle agents not only relies on the matchmaking algorithms employed by them, but also the architecture that organizes them with suitable organizational structure and coordination mechanism. In this paper, we contribute a framework and develop a couple of middle agents with logical ring organizational structure to match requester agents with service provider agents. The middle agent is of the features of proliferation and self-cancellation according to the sensory input from its environment. The token-based coordination mechanism of middle agents is designed. Two kinds of middle agents, namely, host and duplicate, are designed for promoting the scalability and robustness of agent-based systems. We demonstrate the potentials of the architecture by case study.

A guide to interviewing children : essential skills for counsellors, police, lawyers and social workers

This book has been written by two people who really understand children. [They show how to] create opportunities to reduce the trauma of the interview and significantly improve the quality of the information obtained. Chief Constable A.J. Butler Gloucestershire Constabulary A few years ago, a Chief Justice said that it was unnecessary to educate lawyers and judges in the techniques of interviewing children because it was 'just common sense'. The authors show that successful interviewing requires much more than 'common sense'. Freda Briggs, Professor of Child Development, University of South Australia...an excellent book for students and professionals in forensic psychology, policing and social work.Helen Westcott, PhD, The Open UniversityIt is critical that children are interviewed properly in cases of suspected abuse or where the children may be witnesses to or victims of a crime. Poor questioning can upset the child further and contaminate evidence that may be needed in court. Interviewing Children is a practical guide to interviewing techniques for a range of professionals including welfare workers, psychologists, schoolteachers and counsellors, police officers and lawyers. Step by step, it outlines the key stages of an interview, and how to respond to the child's needs during an interview. It explains how to deal with children of different ages and from different backgrounds, and also how to work with their parents. Particular attention is paid to the sensitive issue of sexual abuse, and the problems created by multiple interviews.Clare Wilson lectures in the Department of Psychology at the University of Sydney. Martine Powell lectures in the School of Psychology at Deakin University. Both have trained police officers, social workers and legal professionals in interviewing techniques in Australia and the UK.------------------Full quotes to go on half-title page:This book has been written by two people who really understand children. In passing on their knowledge to professionals who engage with children in the interview room, they create opportunities to reduce the trauma of the interview and significantly improve the quality of the information obtained. Writing in a clear and fresh style, the authors have produced a book which is valuable as a point of reference, a day to day tool and as a training aid to develop skills.Chief Constable A.J. Butler Gloucestershire ConstabularyThis book should be read by all professionals who work with children and could findthemselves receiving disclosures of abuse. It is practical, easy to read and full of examples and hints. It should be a compulsory text for social work studen

Instructor's resource guide to accompany 'Management : core concepts & skills'

Prepared by Andrew Creed (Deakin University), this useful resource includes an introductory statement or question tp stimulate thought about topic, chapter learning objectives, chapter outline, chapter summary and teaching notes (including enhancements such as inserted activities for use in lectures/class). Responses for text questions including critical thinking, review, analysis and case study questions and additional class exercises.

IT skills of university first year undergraduate students : two 2001 matriculation cohorts

The use of computers is becoming more widespread in education and in the wider Australian community. This communication reports the results of surveys of two cohorts of first year undergraduate students at The University of Western Australia and Deakin University, conducted at the beginning of the 2001 academic year. The surveys confirm that general IT skills among students are increasing, but that the level of skill is variable. This is consistent with a similar survey at Deakin University which was conducted at the beginning of 2000.