78 research outputs found

    Community Perspective on Consultation on Urban Stormwater Management: Lessons from Brownhill Creek, South Australia

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    This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/).There are salutary lessons from contrasting community consultation efforts in 2011 and 2015 to develop and gain support for an urban stormwater management plan for the Brownhill Creek catchment in Adelaide, South Australia. The 2011 process was a failure in the human dimension, precipitating loss of community confidence, unnecessarily entrained thousands of hours of time of residents who initiated a community action group for environmental conservation and caused a three-year delay to decision making. By contrast, the 2015 process was vastly improved, resulted in a landslide level of support for an obvious option not previously offered, achieved the required level of flood protection, saved Aus$5 million (14%) on the previously proposed option and protected a highly valued natural environment from an unnecessary dam. This paper presents a rarely heard perspective on these community consultation processes from a participating community environmental and heritage conservation action group (the Brownhill Creek Association) that was deeply engaged in reforming the Draft Brown Hill Keswick Creek Stormwater Management Plan. This reveals that the community needs to see that all options are considered and to have access to accurate information with which to assess them. It is also necessary that the proposed plan is consistent with existing agreed plans and policies developed through public consultation. Community concerns need to be heard, acknowledged and acted upon or responded to, and the consultation process needs to be transparently fair and democratic to win community support. A major contributor to success in the second consultation was that all community action groups were invited to meetings to discuss the purpose of the consultation and the methods to be used. Feedback was subsequently received before the process commenced to show what had changed and why any suggestions concerning the consultation process were not being adopted. This openness helped to mend the distrust of the first consultation process and is recommended as an essential early step in any public consultation process

    Improving efficiency in generating submissions and consistency of outcomes for Marine Stewardship Council (MSC) based assessments

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    The prevalence of fishery certification schemes and associated ecolabels has grown over the last ten years with numerous ecolabels now in the marketplace e.g. Friends of the Sea, Naturland, SAI Global Trust (Parkes et al. 2010, Washington and Ababouch 2011, Ward and Phillips 2013). However, one of the most prominent and well regarded, particularly by eNGOs, is the Marine Stewardship Council (MSC) (Gutiérrez et al. 2012, Ponte 2012, Bush et al. 2013, Ward and Phillips 2013) which accounts for greater than 10 % of annual global harvest of wild capture fisheries (MSC 2014b)

    A prospective study of wound infection in coronary artery surgery

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    Improving efficiency in generating submissions and consistency of outcomes for Marine Stewardship Council (MSC) based assessments

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    The prevalence of fishery certification schemes and associated ecolabels has grown over the last ten years with numerous ecolabels now in the marketplace e.g. Friends of the Sea, Naturland, SAI Global Trust (Parkes et al. 2010, Washington and Ababouch 2011, Ward and Phillips 2013). However, one of the most prominent and well regarded, particularly by eNGOs, is the Marine Stewardship Council (MSC) (Gutiérrez et al. 2012, Ponte 2012, Bush et al. 2013, Ward and Phillips 2013) which accounts for greater than 10 % of annual global harvest of wild capture fisheries (MSC 2014b)

    Population data for Dodonaea serratifolia targeted surveys January 2023

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    Population data for Dodonaea serratifolia targeted surveys January 202

    A prospective study of wound infection in coronary artery surgery

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    OBJECTIVE: The incidence of wound infection in coronary artery surgery is low, but there is an appreciable mortality associated with sternal infection. In other fields of surgery there is evidence that an all disposable paper gown and drape system has protective advantages over a fabric system. Using an established wound scoring system (ASEPSIS), we investigated this in a prospective, randomised trial of patients undergoing cardiac surgery.METHODS: 505 patients undergoing isolated coronary artery surgery in a single hospital over an 18 month period were randomised to either a disposable, paper drape system or re-usable fabric drapes. Allocation was stratified according to whether or not the patient had had previous coronary artery surgery. Patients were followed for 3 months. Total infection scores for each wound were calculated from daily scores collected in hospital together with the scores at six weeks and three months.RESULTS: The two randomised groups were otherwise well matched. Full follow-up information was available for 464 (92%) patients. There was no evidence of any difference in rates of sternal or leg wound infection between the two groups (P = 0.87 and 0.62, respectively). Women were more likely to have infected sternal wounds (P = 0.17) and significantly more likely to have infected leg wounds (P = 0.04). Patients with sternal wound infections had a significantly higher body mass index (P = 0.001). High Parsonnet scores and increased time on ventilation were significantly associated with leg wound but not sternal infections. For both wound sites, patients with infections had spent longer in the operating theatre.CONCLUSION: In a randomised controlled study of patients undergoing coronary artery surgery we found that the use of paper drapes and gowns conferred no benefit over a reusable fabric in terms of post-operative wound infection. Although females and diabetics are more likely to experience this complication, an important additional risk factor is an extended operating time.</p

    Timely safe airway management in critically ill patients

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    Implementing best practice in nutrition and hydration support in residential aged care: staff perceptions of contextual influences on practice change

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    This team is currently implementing and evaluating a Participatory Action Research project, funded by the Australian Government Department of Health and Ageing under the Encouraging Best Practice in Residential Aged Care (EBPRAC) Program, to support development and implementation of best practice nutrition and hydration in nine aged care facilities throughout NSW. In each facility, project activities are locally chosen, based on best practice guidelines, with sustainability as a key feature
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