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    Dying, a normal part of life: what learners see as the one thing they could change in the workplace to more appropriately provide end-of-life care

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    © Flinders University. This work is copyrighted. It may be reproduced in whole or in part for research or training purposes, subject to the inclusion of an acknowledgement of the source. It may not be reproduced for commercial use or sale. Reproduction for purposes other than those indicated above requires written permission from the Research Centre for Palliative Care, Death & Dying. Contact [email protected] for permissions.End-of-Life Essentials (EOLE) is a government funded project which aims to provide free peer-reviewed online education modules and implementation resources on end-of-life care to health professionals in acute hospitals in Australia. 'Dying, A Normal Part of Life' is an educational module featured in the suite of EOLE modules and includes education around the impact of end of life and dying on health care professionals working in acute hospitals, identifying common patterns of trajectories of dying, and discussing the reasons why dying in acute hospitals is often complex for professionals, patients, and families. This White Paper outlines and explores the results of the retrospective data analysis conducted for a two year period, 6th May 2017 to 5th May 2019. A total of 2232 learner statements responding to the free text response question posed at the end of the module: "Tomorrow, the one thing I can change to more appropriately provide end-of-life care is…" were extracted from the EOLE learning platform. The results identified the following themes as nominated practice change areas: Patient-centred care; Communication skills; Humanising healthcare; Recognise and talk about dying; Organisational factors

    Behavioural and heart rate responses to stressors in two populations of Little Penguins that differ in levels of human disturbance and predation risk

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    Dataset made available according to CC BY 4.0 Creative Commons Attribution 4.0 International license https://creativecommons.org/licenses/by/4.0/Dataset for report. Species that are constantly exposed to disturbances, such as human disturbance or non‐lethal contacts with predators or conspecifics, can experience chronic stress. Within a species range, variation in the frequency and predictability of such disturbances can lead to population differences in stress response. Here, we investigated the stress response of Little Penguins Eudyptula minor to an introduced predator and a conspecific at two South Australian colonies that differed in habitat, conspecifics density, levels of human disturbance and predation risk (high, low). We used playback experiments of Cat Felis catus or Little Penguin calls and recorded the behaviour and physiological (heart rate) response of adults in relation to playback type (Cat, Penguin) as well as habitat characteristics (habitat type, nest type, nest visibility) and number of conspecifics present. Our results showed that individuals from the high disturbance colony (also living in a mixed habitat with fewer neighbours) exhibited higher vigilance and heart rate responses than individuals from the low disturbance colony (living in a closed habitat with a high number of neighbours). Our results highlight that guidelines for managing Penguin species cannot be generalised across populations and need to be colony‐specific

    End-of-Life Online Health Education Uptake and Usage by Australian Health Professionals: Urban, Rural and Remote Settings

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    This work is copyrighted. It may be reproduced in whole or in part for research or training purposes, subject to the inclusion of an acknowledgement of the source. It may not be reproduced for commercial use or sale. Reproduction for purposes other than those indicated above requires written permission from the Flinders University Research Centre for Palliative Care, Death & Dying. Contact [email protected] for permissions.Access to skilled end-of-life care is particularly important for those who live in rural and remote areas in Australia given the high levels of chronic disease and higher mortality rates. However, health professionals in rural and remote areas do not always receive adequate training to provide this care due to lack of accessible education. End-of-Life Essentials (EOLE) is a government funded education project which aims to provide free peer-reviewed online education modules and implementation resources on end-of-life care to health professionals in acute hospitals in Australia. In order to understand the uptake and usage of the EOLE education modules, learners’ geographical locations and module completion data from the first year of the program were analysed according to remoteness category. This White Paper outlines and explores the results of the retrospective data analysis conducted in June 2018. Data from learners who registered in the first year of the EOLE program was were extracted, and 4224 learners were included for data analysis. Study findings show that there is a good reach of EOLE to health professionals living in remote and very remote areas. As learners from very remote areas showed the highest proportion of module completion, it suggests the potential benefit of this important online education in providing accessible continuing end-of-life care education for health professionals residing in the most remote parts of Australia

    Partially Penetrating Lake-Aquifer Interaction in a Laboratory-scale Tidal Setting

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    Dataset made available per the CC BY 4.0 Creative Commons Attribution 4.0 International license https://creativecommons.org/licenses/by/4.0/Freshwater lakes close to the coast are important ecotones with strong functional dependency on ocean forces. Tides are likely to create dynamic lake-groundwater interactions, which have not been previously assessed for partially penetrating lakes. This study investigates tidal lake-groundwater interaction in a laboratory-scale aquifer cross-section with and without the existence of a partially penetrating lake. The experimental observations were reproduced by numerical models to allow for an in-depth evaluation of the experiments beyond those provided by direct measurements

    Effects of River Partial Penetration on the Occurrence of Riparian Freshwater Lenses: Experimental Investigation

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    Dataset made available according to CC BY 4.0 Creative Commons Attribution 4.0 International license https://creativecommons.org/licenses/by/4.0/Laboratory experiments and numerical modelling of the freshwater lens extent are used to provide physical verification (in light of limited examples of well-characterised field cases) of the analytical methodology, thereby evaluating the underlying assumptions. Parameter calibration and uncertainty analysis are applied to assess both the experimental conditions and the benefit of lens observations in applying the analytical approach. The experimental freshwater lens was reproduced by both analytical and numerical models

    Exploring Model Defects Using Linear Analysis: A GMDSI worked example report

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    © 2021 Flinders University. This work is copyright. Apart from any use permitted under the Copyright Act 1968, no part may be reproduced by any process, nor may any other exclusive rights be exercised, without the permission of Flinders University, GPO Box 2100, Adelaide 5001, South Australia.The Groundwater Modelling Decision Support Initiative (GMDSI) is an industry-funded and industry-aligned project focused on improving the role that groundwater modelling plays in supporting environmental management and decision-making. Over the life of the project, it will document a number of examples of decision-support groundwater modelling. These documented worked examples will attempt to demonstrate that by following the scientific method, and by employing modern, computer-based approaches to data assimilation, the uncertainties associated with groundwater model predictions can be both quantified and reduced. With realistic confidence intervals associated with predictions of management interest, the risks associated with different courses of management action can be properly assessed before critical decisions are made. In this GMDSI worked example report, we demonstrate how linear analysis can be used to explore whether a groundwater model can indeed be useful while being wrong, and under what circumstances it can actually be described as being "fit for purpose". However, before doing this, we explore the metrics on which these descriptions must rest

    The role of Indigenous Health Workers in ear health screening programs: a scoping review protocol

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    Made available under a Creative Commons Attribution-NonCommercial (CC-BY-NC) Licence. https://creativecommons.org/licenses/by-nc/4.0/Introduction Rates of ear disease and consequent hearing loss are greater for First Nations children than for their non-Indigenous counterparts in Australia, Canada, the United States, and New Zealand. While the First Nations health workforce is recognised as being vital to the provision of culturally appropriate health care to First Nations peoples and communities, there is a lack of information about Indigenous Health Workers’ role in ear health screening programs. A preliminary search of MEDLINE, the Cochrane Database of Systematic Reviews and JBI Evidence Synthesis was conducted and no current or underway systematic reviews or scoping reviews on the topic were identified. Review question What are IHWs’ perspectives about their roles, involvement, and training in the provision of ear health screening programs for First Nations peoples and communities in Australia, Canada, New Zealand, and the United States

    Model-Based Assessment of Coastal Aquifer Management Options. A GMDSI worked example report

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    © Flinders University 2021This GMDSI report describes a model that was built to explore options for management of a coastal aquifer in southern Portugal. The aquifer is representative of many around the world; if extraction continues at its present rate, it is only a matter of time before it suffers a serious degradation in quality. Extraction must therefore be reduced. Alternatively, or as well, recharge must be enhanced. Enough data has been gathered over the last 20 years to support estimation of aquifer properties and inflows. These estimates are enabled by history-matching; however they are cloaked in uncertainty

    Decision-Support Modelling viewed through the lens of Model Complexity

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    © Flinders University 2021. Copyright: This work is copyright. Apart from any use permitted under the Copyright Act 1968, no part may be reproduced by any process, nor may any other exclusive rights be exercised, without the permission of Flinders University, GPO Box 2100, Adelaide 5001, South Australia.A report on decision-support for groundwater modelling and management. The authors’ perspectives on decision-support modelling are shown pictorially using a “roadmap”. This is intended to provide modellers with scientifically-based guidance for selection of a level of structural and parameterisation complexity that is appropriate for the decision-support context in which they are working. It may also assist modelling stakeholders to understand how groundwater modelling can best respond to the decision support imperatives that it is meant to serve

    Radionuclide and stable elements in flora from Australian arid environments

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    Dataset made available per the CC BY 4.0 Creative Commons Attribution 4.0 International license https://creativecommons.org/licenses/by/4.0/Radiological impact assessments are an important tool for energy and resources industries and government safety regulators to assist in the protection of wildlife diversity, especially native species. Evaluations of radiological impacts to flora in the arid regions of Australia are currently based on international models that use predominately Northern Hemisphere data, with very limited Australian-specific data. This creates a degree of uncertainty in communicating the potential impact of relevant Australian assessments. The project aims to build an improved understanding of radionuclide concentration ratios and radionuclide pathways in arid Australian conditions and are expected to inform assessments in similar environmental conditions elsewhere. The dataset contains measurement of stable elements and radionuclides in soils and plants that were obtained from three regions in South Australia: Flinders Ranges, Pernatty and Roxby Downs region. Access to Australian specific data for use in radiological impact models provide a better understanding and more credible environmental impact assessment process based on more relevant local information

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