Evaluating the effectiveness of comprehensive primary health care in local communities: how do general practitioners work with and perceive primary health care services directly funded by government. Report to SA Health.

The South Australian Community Health Research Unit (SACHRU), Flinders University, was contracted by SA Health in 2009-2010 to conduct the study 'Evaluating the effectiveness of comprehensive primary health care in local communities: how do general practitioners work with and perceive primary health care services directly funded by government'. This research study focuses on the links between primary health care (PHC) services directly funded and managed by government and services provided by general practitioners (GPs). It complements research funded under an NH&MRC project grant that is examining evaluation of comprehensive primary health care (CPHC) by working with five PHC service sites in South Australia and one service in Alice Springs

Prevalence and Infection Intensity of Human and Animal Tungiasis in Napak District, Karamoja, Northeastern Uganda

Tungiasis is an important but highly neglected cause of morbidity in resource-poor communities in Latin America and sub-Saharan Africa. Data upon which implementation of control measures can be based are scarce. Before piloting an integrated tungiasis control program in three parishes of Napak district, Uganda, a cross-sectional survey involving the systematic examination of humans and domestic mammals was implemented to establish the occurrence patterns of tungiasis. The study population was 5482 residents, of which 4035 (73.6%) participated in the study. The prevalence of tungiasis in humans was 62.8% (95% CI: 61.3–64.3%), with slightly more males than females affected (p = 0.01). Age-specific prevalence and intensity of human tungiasis followed an S-curve pattern, with children of 5–14 years and the elderly (≥60 years) being the most affected. Half of all lesions (50%) had been manipulated by sharp objects. The prevalence of tungiasis in animals was lower (14.2%, 95% CI: 10.9–18.0) than that of humans (p < 0.001). Animal tungiasis occurred in decreasing order of frequency in pigs (80%), dogs (24%), goats (16.3%), cats (8.1%) and sheep (4.9%). In conclusion, human tungiasis was highly prevalent but animal infections were comparatively few in the study area. Nevertheless, effective control measures should be based on One Health principles

Integrative health care - Toward a common understanding: A mixed method study

© 2017 Elsevier. This manuscript version is made available under the CC-BY-NC-ND 4.0 license: http://creativecommons.org/licenses/by-nc-nd/4.0/Objective To generate a multidisciplinary stakeholder-informed definition of integrative health care (IHC). Methods A mixed-method study design was used, employing the use of focus groups/semi-structured interviews (phase-1) and document analysis (phases 2 and 3). Phase-1 recruited a purposive sample of Australian health consumers/health providers. Phase-2 interrogated websites of international IHC organisations for definitions of IHC. Phase-3 systematically searched bibliographic databases for articles defining IHC. Data were analysed using thematic analysis. Results Data were drawn from 54 health consumers/providers (phase-1), 23 IHC organisation webpages (phase-2) and 23 eligible articles (phase-3). Seven themes emerged from the data. Consensus was reached on a single, 65-word definition of IHC. Conclusion An unambiguous definition of IHC is critical to establishing a clearer identity for IHC, as well as providing greater clarity for consumers, health providers and policy makers. In recognising the need for a clearer description, we propose a scientifically-grounded, multi-disciplinary stakeholder-informed definition of IHC

A Cognitive Model to Anticipate Variations of Situation Awareness and Attention for the Takeover in Highly Automated Driving

The development of highly automated driving requires dynamic approaches that anticipate the cognitive state of the driver. In this paper, a cognitive model is developed that simulates a spectrum of cognitive processing and the development of situation awareness and attention guidance in different takeover situations. In order to adapt cognitive assistance systems according to individuals in different situations, it is necessary to understand and simulate dynamic processes that are performed during a takeover. To validly represent cognitive processing in a dynamic environment, the model covers different strategies of cognitive and visual processes during the takeover. To simulate the visual processing in detail, a new module for the visual attention within different traffic environments is used. The model starts with a non-driving-related task, attends the takeover request, makes an action decision and executes the corresponding action. It is evaluated against empirical data in six different driving scenarios, including three maneuvers. The interaction with different dynamic traffic scenarios that vary in their complexity is additionally represented within the model. Predictions show variances in reaction times. Furthermore, a spectrum of driving behavior in certain situations is represented and how situation awareness is gained during the takeover process. Based on such a cognitive model, an automated system could classify the driver&rsquo;s takeover readiness, derive the expected takeover quality and adapt the cognitive assistance for takeovers accordingly to increase safety

YWCA of Adelaide: Big Brothers Big Sisters Program Evaluation Report 2010

This report discusses the findings and the implications of the evaluation of the Big Brothers Big Sisters (BBBS) program of the YWCA of Adelaide. The evaluation has explored a range of factors around the success and challenges of the BBBS mentoring program by examining the roles and experiences of mentors, the experiences and outcomes for mentees and their families, and the experiences and ideas of staff. The aims of the evaluation are to explore the development of protective factors for 'at-risk' young people, the quality of mentor-mentee relationships, the engagement of volunteer mentors, factors affecting recruitment and retention of mentors, opportunities for parents/carers to build parenting skills and reduce isolation, and implementation of BBBS program processes

A Cognitive Model to Anticipate Variations of Situation Awareness and Attention for the Takeover in Highly Automated Driving

The development of highly automated driving requires dynamic approaches that anticipate the cognitive state of the driver. In this paper, a cognitive model is developed that simulates a spectrum of cognitive processing and the development of situation awareness and attention guidance in different takeover situations. In order to adapt cognitive assistance systems according to individuals in different situations, it is necessary to understand and simulate dynamic processes that are performed during a takeover. To validly represent cognitive processing in a dynamic environment, the model covers different strategies of cognitive and visual processes during the takeover. To simulate the visual processing in detail, a new module for the visual attention within different traffic environments is used. The model starts with a non-driving-related task, attends the takeover request, makes an action decision and executes the corresponding action. It is evaluated against empirical data in six different driving scenarios, including three maneuvers. The interaction with different dynamic traffic scenarios that vary in their complexity is additionally represented within the model. Predictions show variances in reaction times. Furthermore, a spectrum of driving behavior in certain situations is represented and how situation awareness is gained during the takeover process. Based on such a cognitive model, an automated system could classify the driver’s takeover readiness, derive the expected takeover quality and adapt the cognitive assistance for takeovers accordingly to increase safety

High Level of Knowledge about Tungiasis but Little Translation into Control Practices in Karamoja, Northeastern Uganda

Tungiasis is a neglected tropical disease (NTD) that can cause significant suffering and disability. Health promotion is an important pillar in NTD control programs, assuming that better knowledge contributes to reduced risk behavior and reduced risk of infection. The study objective was to assess tungiasis-related knowledge and its translation into control practices in a rural and highly endemic setting in Karamoja, Northeastern Uganda. We applied a mixed-methods design on household and community level. A semi-quantitative questionnaire on knowledge, practices, and attitudes (KAP) regarding tungiasis was administered to 1329 individuals with the main caring responsibilities in the household. Additionally, eight community dialogue meetings were held and analyzed. Overall, knowledge of tungiasis in humans was high but knowledge of tungiasis in animals was low. Most questionnaire respondents knew the causative agent and clinical presentations of tungiasis in humans, risk factors, and preventive measures. This tungiasis-related knowledge was translated into simple prevention measures. However, adequate tungiasis control was impeded due to a lack of resources, such as access to water and effective medical treatment. In conclusion, health promotion campaigns should be integrated with support towards adequate tungiasis control measures, such as provision of safe treatment, hardening of non-solid floors in the houses, and improved access to water

Understanding the emerging relationship between complementary medicine and mainstream health care: A review of the literature

The history of the relationship between complementary medicine (CM) and mainstream health care has shifted from the early days of pluralism, through hostility and exclusion, to one of grudging acceptance. The current situation is one of a tacit acknowledgement and in some cases open endorsement by biomedicine for a number of forms of CM practice, largely driven by the popularity of CM to consumers in our increasingly market driven health care system. How this relationship is ultimately worked out will impact both on the practice of CM and biomedicine, and on the health care choices available to consumers. In this article we review the research and commentary literature on the current and emerging relationship between biomedicine and CM. In particular we explore the ways in which mainstream inclusion of CM is discussed in the literature, and the biomedical and CM perspectives of mainstream CM inclusion. Finally we discuss the implications of the emerging relationship for CM, and CM practitioners and consumers.Marlene Wiese, Candice Oster & Jan Pincomb