Housing affordability and environmental sustainability: what is the right thing to do?

In the 2007 Australian federal election campaign, then Opposition leader Kevin Rudd denounced the threat of climate change as the greatest moral, economic and social challenge facing our generation. Taking steps to address climate change is likely to require changes to how we are housed, including how housing is designed, constructed, and how it is used. Yet, whether it is celebrated as the ‘great Australian dream’ and Australia as a ‘home owning democracy’ or derided as ‘the great Australian nightmare’ or the ‘great Australian ugliness’, how people are housed, and private home ownership in particular, holds an elevated and almost folkloric status in Australian policy and narratives of Australian national identity. This thesis explores the tensions that thus arise in policy debate over housing affordability and climate change, as presented in Australian housing and environmental policy. It casts these tensions as problems for social justice, and questions what Australian governments should do with respect to housing, affordability and climate change. Its theoretical foundation is drawn from the work of the late American political philosopher John Rawls and his rights-based Justice as Fairness theory, as well as that of Amartya Sen and Michael Sandel. This literature provides both substantive principles of justice against which to assess the various claims about what is at stake and who matters that have arisen in Australian policy debate over housing and climate change. At the same time, a core theme for Rawls, Sen and Sandel is that determining what is just, involves evaluation of the process of public reasoning, which gives voice and legitimacy to these claims and principles in the first place. The thesis argues that housing affordability is the dominant paradigm in Australian housing policy, which casts what matters about housing as its cost. This economistic paradigm not only conceals a range of other claims about what is important when it comes to how people are housed, but is also an inadequate basis for making judgements about justice. What is required, it argues, is a process of public reasoning in which citizens are encouraged to act on behalf of and are stewards of the better interests of others who cannot do the same in return. As such, the contribution of this thesis is not an account of what particular policy setting is more or less just. Rather, it offers a proposal for how we might think differently about housing as a policy problem, as well as insights into what answers this different approach may yield

Dual effect of anionic surfactants in the electrodeposited MnO2 trafficking redox ions for energy storage

The dual effect of in-situ addition of anionic surfactants, sodium octyl sulfate (SOS), sodium dodecyl sulfate (SDS) and sodium tetradecyl sulfate (STS) on the microstructure and electrochemical properties of electrolytic manganese dioxide (EMD) produced from waste low grade manganese residue is discussed. X-ray diffraction (XRD), field emission scanning electron microscopy (FESEM), BET-surface area studies, thermogravimetry-differential thermal analysis (TG-DTA) and Fourier transform infrared spectroscopy (FTIR) were used to determine the structure and chemistry of the EMD. All EMD samples were found to contain predominantly gamma-phase MnO2, which is electrochemically active for energy storage applications. FESEM images showed that needle, rod and flower shaped nano-particles with a porous surface and platy nano-particles were obtained in the case of EMD deposited with and without surfactant respectively. Thermal studies showed loss of structural water and formation of lower manganese oxides indicating high stability of the EMD samples. The cyclic voltammetry and charge - discharge characteristics implied the presence of surfactants enhances the energy storage within the MnO2 structure. Addition of the surfactant at its optimum concentration greatly increased the EMD surface area, which in turn improved the cycle life of the EMD cathode. EMD obtained in the presence of 25, 50, 25 ppm of SOS, SDS, and STS respectively showed an improved cycle life relative to the EMD obtained in the absence of surfactant. EMD obtained without surfactant showed a capacity fade of 20 mAh g(-1) within 15 discharge-charge cycles, while surfactant modified samples showed stable cyclic behavior of capacity 95 mAh g(-1) even after 15 cycles

Systematic Review: Effectiveness of psychosocial interventions on wellbeing outcomes for adolescent or adult victim/survivors of recent rape or sexual assault

Sexual assault and rape are common forms of sexual violence/abuse. The psychological/health consequences represent significant and ongoing harm. It seems imperative that victim/survivors receive evidence-based support within first response settings. To assess what psychosocial interventions work for victim/survivors of a recent sexual assault. Twenty-seven electronic databases were systematically searched. Narrative data synthesis was used to read across studies. Reporting format follows PRISMA checklist. Ten studies were identifed including range of interventions. The evidence is sparse and scientifically weak, common flaws are reviewed. There is some weak evidence for the impact of video and cognitive behavioural therapy (CBT) based interventions, especially trauma processing. There is a gap in the evidence base on psychosocial interventions for victim/survivors of sexual assault and higher quality research is required

A comparison of echocardiography to invasive measurement in the evaluation of pulmonary arterial hypertension in a rat model

Pulmonary arterial hypertension (PAH) is a life-threatening condition characterized by progressive elevation in pulmonary artery pressure (PAP) and total pulmonary vascular resistance (TPVR). Recent advances in imaging techniques have allowed the development of new echocardiographic parameters to evaluate disease progression. However, there are no reports comparing the diagnostic performance of these non-invasive parameters to each other and to invasive measurements. Therefore, we investigated the diagnostic yield of echocardiographically derived TPVR and Doppler parameters of PAP in screening and measuring the severity of PAH in a rat model. Serial echocardiographic and invasive measurements were performed at baseline, 21 and 35 days after monocrotaline-induction of PAH. The most challenging echocardiographic derived TPVR measurement had good correlation with the invasive measurement (r = 0.92, P < 0.001) but also more simple and novel parameters of TPVR were found to be useful although the non-invasive TPVR measurement was feasible in only 29% of the studies due to lack of sufficient tricuspid valve regurgitation. However, echocardiographic measures of PAP, pulmonary artery flow acceleration time (PAAT) and deceleration (PAD), were measurable in all animals, and correlated with invasive PAP (r = −0.74 and r = 0.75, P < 0.001 for both). Right ventricular thickness and area correlated with invasive PAP (r = 0.59 and r = 0.64, P < 0.001 for both). Observer variability of the invasive and non-invasive parameters was low except in tissue-Doppler derived isovolumetric relaxation time. These non-invasive parameters may be used to replace invasive measurements in detecting successful disease induction and to complement invasive data in the evaluation of PAH severity in a rat model

Developing agreement on never events in primary care dentistry:an international eDelphi study

Introduction: Never events (NEs) are a subset of serious patient safety incidents that should not occur if appropriate preventive measures are implemented. Although there is a consensus in medicine, there is no agreement on NEs in dentistry. Aim: To identify NEs in primary care dentistry. Method: We undertook an electronic Delphi exercise to develop an international agreement on NEs for primary care dentistry. Results: We initially identified candidate NEs through a scoping review of the literature and then analysed dentistry-related reports in a national incident reporting system. Next, we invited an international panel of 41 experts to complete two rounds of questionnaires; 32 agreed to participate (78%) and completed the first round and 29/41 (71%) members completed the second round. We provided anonymised controlled feedback between rounds and used a cut-off of 80% agreement to define consensus. Consensus was achieved for 23 out of 42 candidate NEs. These related to routine assessment, and pre-operative, intra-operative and post-operative stages of dental procedures. Discussion and conclusion: To our knowledge, this is the first international expert consensus-based approach that has identified NEs for primary care dentistry. We suggest that dental regulators consider these to support quality assessment and governance activities

UVA/UVA1 phototherapy and PUVA photochemotherapy in connective tissue diseases and related disorders: a research based review

BACKGROUND: Broad-band UVA, long-wave UVA1 and PUVA treatment have been described as an alternative/adjunct therapeutic option in a number of inflammatory and malignant skin diseases. Nevertheless, controlled studies investigating the efficacy of UVA irradiation in connective tissue diseases and related disorders are rare. METHODS: Searching the PubMed database the current article systematically reviews established and innovative therapeutic approaches of broad-band UVA irradiation, UVA1 phototherapy and PUVA photochemotherapy in a variety of different connective tissue disorders. RESULTS: Potential pathways include immunomodulation of inflammation, induction of collagenases and initiation of apoptosis. Even though holding the risk of carcinogenesis, photoaging or UV-induced exacerbation, UVA phototherapy seems to exhibit a tolerable risk/benefit ratio at least in systemic sclerosis, localized scleroderma, extragenital lichen sclerosus et atrophicus, sclerodermoid graft-versus-host disease, lupus erythematosus and a number of sclerotic rarities. CONCLUSIONS: Based on the data retrieved from the literature, therapeutic UVA exposure seems to be effective in connective tissue diseases and related disorders. However, more controlled investigations are needed in order to establish a clear-cut catalogue of indications

Dynamic purine signaling and metabolism during neutrophil–endothelial interactions

During episodes of hypoxia and inflammation, polymorphonuclear leukocytes (PMN) move into underlying tissues by initially passing between endothelial cells that line the inner surface of blood vessels (transendothelial migration, TEM). TEM creates the potential for disturbances in vascular barrier and concomitant loss of extravascular fluid and resultant edema. Recent studies have demonstrated a crucial role for nucleotide metabolism and nucleoside signaling during inflammation. These studies have implicated multiple adenine nucleotides as endogenous tissue protective mechanisms invivo. Here, we review the functional components of vascular barrier, identify strategies for increasing nucleotide generation and nucleoside signaling, and discuss potential therapeutic targets to regulate the vascular barrier during inflammation

Learning as an outcome of involvement in research : what are the implications for practice, reporting and evaluation?

Abstract Public involvement in research has evolved over the last two decades in a culture dominated by the principles of evidence-based medicine. It is therefore unsurprising that some researchers have applied the same thinking to involvement, particularly to involvement in research projects. This may explain why they tend to conceptualise involvement as an intervention, seek to evaluate its impact in the same way that treatments are tested, highlight the need for an evidence-base for involvement, and use the language of research to describe its practice and report its outcomes. In this article we explore why this thinking may be unhelpful. We suggest an alternative approach that conceptualises involvement as ‘conversations that support two-way learning’. With this framing, there is no ‘method’ for involvement, but a wide range of approaches that need to be tailored to the context and the needs of the individuals involved. The quality of the interaction between researchers and the public becomes more important than the process. All parties need to be better prepared to offer and receive constructive criticism and to engage in constructive conflict that leads to the best ideas and decisions. The immediate outcomes of involvement in terms of what researchers learn are subjective (specific to the researcher) and unpredictable (because researchers don’t know what they don’t know at the start). This makes it challenging to quantify such outcomes, and to carry out comparisons of different approaches. On this basis, we believe obtaining ‘robust evidence’ of the outcomes of involvement in ways that are consistent with the values of evidence-based medicine, may not be possible or appropriate. We argue that researchers’ subjective accounts of what they learnt through involvement represent an equally valid way of knowing whether involvement has made a difference. Different approaches to evaluating and reporting involvement need to be adopted, which describe the details of what was said and learnt by whom (short term outcomes), what changes were made as a result (medium term outcomes), and the long-term, wider impacts on the research culture and agenda. Sharing researchers’ personal accounts may support wider learning about how involvement works, for whom and when