10 research outputs found

    Study protocol: national research partnership to improve primary health care performance and outcomes for Indigenous peoples

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    Background Strengthening primary health care is critical to reducing health inequity between Indigenous and non-Indigenous Australians. The Audit and Best practice for Chronic Disease Extension (ABCDE) project has facilitated the implementation of modern Continuous Quality Improvement (CQI) approaches in Indigenous community health care centres across Australia. The project demonstrated improvements in health centre systems, delivery of primary care services and in patient intermediate outcomes. It has also highlighted substantial variation in quality of care. Through a partnership between academic researchers, service providers and policy makers, we are now implementing a study which aims to 1) explore the factors associated with variation in clinical performance; 2) examine specific strategies that have been effective in improving primary care clinical performance; and 3) work with health service staff, management and policy makers to enhance the effective implementation of successful strategies. Methods/Design The study will be conducted in Indigenous community health centres from at least six States/Territories (Northern Territory, Western Australia, New South Wales, South Australia, Queensland and Victoria) over a five year period. A research hub will be established in each region to support collection and reporting of quantitative and qualitative clinical and health centre system performance data, to investigate factors affecting variation in quality of care and to facilitate effective translation of research evidence into policy and practice. The project is supported by a web-based information system, providing automated analysis and reporting of clinical care performance to health centre staff and management. Discussion By linking researchers directly to users of research (service providers, managers and policy makers), the partnership is well placed to generate new knowledge on effective strategies for improving the quality of primary health care and fostering effective and efficient exchange and use of data and information among service providers and policy makers to achieve evidence-based resource allocation, service planning, system development, and improvements of service delivery and Indigenous health outcomes.Ross Bailie, Damin Si, Cindy Shannon, James Semmens, Kevin Rowley, David J Scrimgeour, Tricia Nage, Ian Anderson, Christine Connors, Tarun Weeramanthri, Sandra Thompson, Robyn McDermott, Hugh Burke, Elizabeth Moore, Dallas Leon, Richard Weston, Haylene Grogan, Andrew Stanley and Karen Gardne

    John Clare and place

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    This chapter tackles issues of place in the self-presentation and critical reception of John Clare, and pursues it across a number of axes. The argument centres on the placing of Clare both socio-economically and ‘naturally’, and limitations exerted upon perceptions of his work. Interrogating criticism this chapter finds a pervasive awkwardness especially in relation to issues of class and labour. It assesses the contemporary ‘placing’ of Clare, and seemingly unavoidable insensitivities to labour and poverty in the history industry, place-naming, and polemical ecocriticism. It assesses the ways Clare represents place – in poverty, in buildings, in nature – and, drawing on Michel de Certeau, considers the tactics Clare uses to negotiate his place. It pursues trajectories to ‘un-place’ Clare: the flight of fame in Clare’s response to Byron; and the flight of an early poem in songbooks and beyond, across the nineteenth century

    Evolution of granulites from MacRobertson Land, East Antarctica / by Ian Scrimgeour.

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    Bibliography: leaves 181-196.196, 44a leaves : ill. (some col.), maps ; 30 cm.Thesis (Ph.D.)--University of Adelaide, Dept. of Geology and Geophysics, 199

    Distribution of Palaeozoic reworking in the Western Arunta Region and northwestern Amadeus Basin from40Ar/39Ar thermochronology: implications for the evolution of intracratonic basins

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    The Centralian Superbasin in central Australia is one of the most extensive intracratonic basins known from a stable continental setting, but the factors controlling its formation and subsequent structural dismemberment continue to be debated. Argon thermochronology of K-feldspar, sensitive to a broad range of temperatures (∼150 to 350°C), provides evidence for the former extent and thickness of the superbasin and points toward thickening of the superbasin succession over the now exhumed Arunta Region basement. These data suggest that before Palaeozoic tectonism, there was around 5-6km of sediment present over what is now the northern margin of the Amadeus Basin, and, if the Centralian superbasin was continuous, between 6 and 8km over the now exhumed basement. 40Ar/39Ar data from neoformed fine-grained muscovite suggests that Palaeozoic deformation and new mineral growth occurred during the earliest compressional phase of the Alice Springs Orogeny (ASO) (440-375Ma) and was restricted to shear zones. Significantly, several shear zones active during the late Mesoproterozoic Teapot Orogeny were not reactivated at this time, suggesting that the presence of pre-existing structures was not the only controlling factor in localizing Palaeozoic deformation. A range of Palaeozoic ages of 440-300Ma from samples within and external to shear zones points to thermal disturbance from at least the early Silurian through until the late Carboniferous and suggests final cooling and exhumation of the terrane in this interval. The absence of evidence for active deformation and/or new mineral growth in the late stages of the ASO (350-300Ma) is consistent with a change in orogenic dynamics from thick-skinned regionally extensive deformation to a more restricted localized high-geothermal gradient event

    Stable isotope probing analysis of the influence of liming on root exudate utilization by soil microorganisms

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    Rhizosphere microorganisms play an important role in soil carbon flow, through turnover of root exudates, but there is little information on which organisms are actively involved or on the influence of environmental conditions on active communities. In this study, a 13CO2 pulse labelling field experiment was performed in an upland grassland soil, followed by RNA-stable isotope probing (SIP) analysis, to determine the effect of liming on the structure of the rhizosphere microbial community metabolizing root exudates. The lower limit of detection for SIP was determined in soil samples inoculated with a range of concentrations of 13C-labelled Pseudomonas fluorescens and was found to lie between 105 and 106 cells per gram of soil. The technique was capable of detecting microbial communities actively assimilating root exudates derived from recent photo-assimilate in the field. Denaturing gradient gel electrophoresis (DGGE) profiles of bacteria, archaea and fungi derived from fractions obtained from caesium trifluoroacetate (CsTFA) density gradient ultracentrifugation indicated that active communities in limed soils were more complex than those in unlimed soils and were more active in utilization of recently exuded 13C compounds. In limed soils, the majority of the community detected by standard RNA-DGGE analysis appeared to be utilizing root exudates. In unlimed soils, DGGE profiles from 12C and 13C RNA fractions differed, suggesting that a proportion of the active community was utilizing other sources of organic carbon. These differences may reflect differences in the amount of root exudation under the different conditions
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