Carers\u27 preferences for the delivery of therapy services for people with disability in rural Australia: Evidence from a discrete choice experiment

Background: The implementation of the Australian National Disability Insurance Scheme (NDIS) is expected to generate a responsive, person-centred system that will empower people with disability to choose the services and support they receive. However little attention has been paid to examine how users of the NDIS will choose and spend their individual budgets. This study aimed to determine quantitatively the relative importance that carers of people with a disability living in rural Australia place on different therapy service delivery characteristics. Methods: A stated preference discrete choice experiment (DCE) was incorporated into a survey of carers of people with disability living in rural Australia. Carers chose between therapy delivery services differing in attributes such as travel time to receive therapy, sector providing the service (i.e. Government, not-for-profit, private), out-of-pocket costs, person who delivers the therapy (therapist or other staff) and waiting time. Results: A total of 133 carers completed the DCE. The majority of respondents cared for a child with a disability (84%), the average age of the person they cared for was 17 years (SD 14.25). Participants expressed strong preferences for a short waiting time (0-3 months) to receive therapy services; services delivered by a therapist, no out of pocket cost and travelling up to 4 hours to receive a therapy session (p Conclusion: Carers of people with a disability in rural Australia exhibited strongest preferences for short waiting times (0-3 months). Therapy services that are delivered by therapy assistants or support workers will require careful introduction to achieve uptake and acceptability

Factors affecting retention of allied health professionals working with people with disability in rural New South Wales, Australia: discrete choice experiment questionnaire development

Objective: This paper describes the development of a discrete choice experiment (DCE) questionnaire to identify the factors (attributes) that allied health professionals (AHPs) working with people with disability identify as important to encouraging them to remain practising in rural areas. Methods: Focus groups and semi-structured interviews were conducted with 97 purposively selected service providers working with people with disability in rural New South Wales, Australia. Focus groups and interviews were digitally recorded, transcribed, and analysed using a modified grounded theory approach involving thematic analysis and constant comparison. Results: Six attributes that may influence AHPs working with people with disability in rural areas to continue to do so were inductively identified: travel arrangements, work flexibility, professional support, professional development, remuneration, and autonomy of practice. The qualitative research information was combined with a policy review to define these retention factors and ensure that they are amenable to policy changes. Conclusion: The use of various qualitative research methods allowed the development of a policy-relevant DCE questionnaire that was grounded in the experience of the target population (AHPs)

Should I stay or should I go? Exploring the job preferences of allied health professionals working with people with disability in rural Australia

Introduction: The uneven distribution of allied health professionals (AHPs) in rural and remote Australia and other countries is well documented. In Australia, like elsewhere, service delivery to rural and remote communities is complicated because relatively small numbers of clients are dispersed over large geographic areas. This uneven distribution of AHPs impacts significantly on the provision of services particularly in areas of special need such as mental health, aged care and disability services. Objective: This study aimed to determine the relative importance that AHPs (physiotherapists, occupational therapists, speech pathologists and psychologists – “therapists”) living in a rural area of Australia and working with people with disability, place on different job characteristics and how these may affect their retention. Methods: A cross-sectional survey was conducted using an online questionnaire distributed to AHPs working with people with disability in a rural area of Australia over a 3-month period. Information was sought about various aspects of the AHPs’ current job, and their workforce preferences were explored using a best–worst scaling discrete choice experiment (BWSDCE). Conditional logistic and latent class regression models were used to determine AHPs’ relative preferences for six different job attributes. Results: One hundred ninety-nine AHPs completed the survey; response rate was 51 %. Of those, 165 completed the BWSDCE task. For this group of AHPs, “high autonomy of practice” is the most valued attribute level, followed by “travel BWSDCE arrangements: one or less nights away per month”, “travel arrangements: two or three nights away per month” and “adequate access to professional development”. On the other hand, the least valued attribute levels were “travel arrangements: four or more nights per month”, “limited autonomy of practice” and “minimal access to professional development”. Except for “some job flexibility”, all other attributes had a statistical influence on AHPs’ job preference. Preferences differed according to age, marital status and having dependent children. Conclusions: This study allowed the identification of factors that contribute to AHPs’ employment decisions about staying and working in a rural area. This information can improve job designs in rural areas to increase retention

A Slow Merger History of Field Galaxies Since z~1

Using deep infrared observations conducted with the CISCO imager on the Subaru Telescope, we investigate the field-corrected pair fraction and the implied merger rate of galaxies in redshift survey fields with Hubble Space Telescope imaging. In the redshift interval, 0.5 < z < 1.5, the fraction of infrared-selected pairs increases only modestly with redshift to 7% +- 6% at z~1. This is nearly a factor of three less than the fraction, 22% +- 8%, determined using the same technique on HST optical images and as measured in a previous similar study. Tests support the hypothesis that optical pair fractions at z~1 are inflated by bright star-forming regions that are unlikely to be representative of the underlying mass distribution. By determining stellar masses for the companions, we estimate the mass accretion rate associated with merging galaxies. At z~1, we estimate this to be 2x10^{9 +- 0.2} solar masses per galaxy per Gyr. Although uncertainties remain, our results suggest that the growth of galaxies via the accretion of pre-existing fragments remains as significant a phenomenon in the redshift range studied as that estimated from ongoing star formation in independent surveys.Comment: 5 pages, accepted for publication in ApJ Letter

Metallothioneins may not be enough - the role of phytochelatins in invertebrate metal detoxification

'Viewpoint' article

Dislocation density and graphitization of diamond crystals

Two sets of diamond specimens compressed at 2 GPa at temperatures varying between 1060 K and 1760 K were prepared; one in which graphitization was promoted by the presence of water and another in which graphitization of diamond was practically absent. X-ray diffraction peak profiles of both sets were analyzed for the microstructure by using the modified Williamson-Hall method and by fitting the Fourier coefficients of the measured profiles by theoretical functions for crystallite size and lattice strain. The procedures determined mean size and size distribution of crystallites as well as the density and the character of the dislocations. The same experimental conditions resulted in different microstructures for the two sets of samples. They were explained in terms of hydrostatic conditions present in the graphitized samples

AEGIS: Extinction and Star Formation Tracers from Line Emission

Strong nebular emission lines are a sensitive probe of star formation and extinction in galaxies, and the [O II] line detects star forming populations out to z>1. However, star formation rates from emission lines depend on calibration of extinction and the [O II]/H-alpha line ratio, and separating star formation from AGN emission. We use calibrated line luminosities from the DEEP2 survey and Palomar K magnitudes to show that the behavior of emission line ratios depends on galaxy magnitude and color. For galaxies on the blue side of the color bimodality, the vast majority show emission signatures of star formation, and there are strong correlations of extinction and [O II]/H-alpha with restframe H magnitude. The conversion of [O II] to extinction-corrected H-alpha and thus to star formation rate has a significant slope with M_H, 0.23 dex/mag. Red galaxies with emission lines have a much higher scatter in their line ratios, and more than half show AGN signatures. We use 24 micron fluxes from Spitzer/MIPS to demonstrate the differing populations probed by nebular emission and by mid-IR luminosity. Although extinction is correlated with luminosity, 98% of IR-luminous galaxies at z~1 are still detected in the [O II] line. Mid-IR detected galaxies are mostly bright and intermediate color, while fainter, bluer galaxies with high [O II] luminosity are rarely detected at 24 microns.Comment: 4 pages, 3 figures. Accepted for publication in ApJ Letters AEGIS special editio

Observational Evidence for the Co-evolution of Galaxy Mergers, Quasars, and the Blue/Red Galaxy Transition

We compile a number of observations to estimate the time-averaged rate of formation or buildup of red sequence galaxies, as a function of mass and redshift. Comparing this with the mass functions of mergers and quasar hosts, and independently comparing their clustering properties as a function of redshift, we find that these populations trace the same mass distribution, with similar evolution, at redshifts 0<z<~1.5. Knowing one of the quasar, merger, or elliptical mass/luminosity functions, it is possible to predict the others. Allowing for greater model dependence, we compare the rate of early-type buildup with the implied merger and quasar triggering rates as a function of mass and redshift and find agreement. Over this redshift range, observed merger fractions can account for the entire bright quasar luminosity function and buildup of the red sequence at all but the highest masses at low redshift (>~10^11 M_solar at z<~0.3) where 'dry' mergers appear to dominate. This supports a necessary prediction of theories where mergers between gas-rich galaxies produce ellipticals with an associated phase of quasar activity, after which the remnant becomes red. These populations trace a similar characteristic transition mass, possibly reflecting the mass above which the elliptical population is mostly (>~50%) assembled at a given redshift, which increases with redshift over the observed range in a manner consistent with suggestions that cosmic downsizing may apply to red galaxy assembly as well as star formation. These mass distributions as a function of redshift do not uniformly trace the all/red/blue galaxy population, ruling out models in which quasar activity is generically associated with star formation or is long lived in 'old' systems.Comment: 24 pages, 17 figures. Accepted to ApJ. Substantially revised and expanded to match published versio

Some Empirical Criteria for Attributing Creativity to a Computer Program

Peer reviewedPostprin