Commemorative Events and National Identity: Commemorating Death and Disaster in Australia

Commemorative events are held to remember all types of occasions including disastrous and tragic incidents. Due to the passage of time, the commemoration and collective memory of the event may change its significance and relevance due to changes in the associated social, political, and cultural landscape. This article examines the commemorative events associated with three tragic incidents that occurred on Australian soil, namely, the 175th anniversary of the Myall Creek massacre held in 2013, the 70th anniversary of the Second World War bombing of Darwin held in 2012, and the 10th anniversary of the Port Arthur massacre held in 2006. National identity and commemorative events are strongly connected and the article examines these particular anniversaries and commemorative events in the context of Australian national identity, collective memory, and how the significance of these commemorations may change from generation to generation. The article finds each of the commemorative events have altered in their significance and are now remembered in a different light, with the Myall Creek massacre reflecting aspects of Aboriginal reconciliation; the bombing of Darwin reflecting Australia's role on the world's political stage; and the Port Arthur massacre highlighting Australia's strict gun laws.</jats:p

Developing interventions for young females who display harmful sexual behaviours :a literature review of interventions and an exploration of what practitioners envision and understand

D.App.Ed.Psy ThesisAs children and young people (CYP) who sexually harm others account for between a third and a quarter of sexual offences and 30 - 50% of all childhood sexual abuse is perpetrated by adolescents, this population is increasingly attracting the attention of researchers, policy makers and professionals. Despite this, research concludes this area is not given the attention it deserves. The role of assessment and intervention work with those displaying harmful sexual behaviour (HSB) is particularly important in order to prevent further abuse and to see CYP as this first and foremost rather than being exclusively offence focussed. From a literature review exploring what is known about interventions for CYP with HSB, 10 different interventions were analyzed and potential barriers and facilitators of effective intervention were identified. Findings question the need to tailor assessment and interventions to the specific needs of lesser understood sub-groups of CYP displaying HSB such as girls, those with learning difficulties and children under the age of adolescence, to attend to what may be effective for their varied and particular needs. The empirical research aims to develop an understanding of and to accommodate the intervention needs of young females with HSB through semi structured interviews with 6 HSB practitioners in one local authority. Phenomenological methodology was applied to allow for consideration of personal experiences and data was analysed using Interpretive Phenomenological Analysis. The research findings are critically considered, suggesting how work should be tailored and how practitioners should adapt their practice in light of current research and psychological theory. Further, it expands on what is known and contributes to the development and future aspirations of the authority’s HSB panel

Personal Narratives of Mental Illness: From Hostage to Survivor

This study has delved into personal narratives extracted from online blogs to build a systematic view of mental illness trajectory through the portrayal offered by bloggers. One hundred and thirty-three blogs were reviewed and narrative analysis was used to interpret a final sample of 12 blogs. The results offer two main narratives—the hostage and the survivor—which illustrate, within the context of social and self-stigma, the need for an identity reformulation in order to reach recovery. The two narratives also led to the design of a model for mental illness trajectory (MMIT). The breaking down of mental illness trajectory into phases could be advantageous to promoting tailored interventions for specific stages of recovery. The importance of referring to lived experience when trying to understand and develop better treatments for mental illness has been well established. This study contributes to the growing body of research that includes the voice of the person with mental illness offering not only a vivid portrayal of life with mental health issues but also an understanding of the trajectory to recovery

Failure to meet aerobic fitness standards among urban elementary students

The aim of this study was to explore the relationship of aerobic fitness with the elementary school environment and student characteristics among 4th and 5th grade children attending urban public schools in St. Louis, MO, USA. This cross-sectional study was conducted during 2012–2015 and included 2381 children (mean age 10.5 y) who completed the FITNESSGRAM® 20-m Progressive Aerobic Cardiovascular Endurance Run. Healthy Fitness Zone (HFZ) was defined according to FITNESSGRAM® aerobic capacity criteria. Other student-level variables included age, race, National School Lunch Program eligibility, BMI z-score, weight status, and daily pedometer steps. School environment variables included playground features and playground safety, physical education and recess practices, and school census tract data on vacant houses and median household income. Bivariate analyses with sex stratification were used to identify student-level and school-level predictors of failure to achieve the aerobic HFZ; predictors were then included in a multivariable logistic regression model. Failure to meet the aerobic HFZ was observed among 33% of boys and 57% of girls. School environment was not predictive, but higher age and fewer daily steps were: each additional year of age was associated with 41% higher odds of failing to meet the aerobic HFZ among boys and 100% higher odds among girls. Conversely, each additional 1000 daily steps was associated with 15% (boys) and 13% (girls) lower odds of failure. Obesity posed a 60% higher risk of failure to meet HFZ among girls. These results highlight the importance of childhood physical activity opportunities, especially for girls residing in low-resource areas. Keywords: Aerobic fitness, School, Environment, Student, Child, Urban, Low-resourc

Rheumatic heart disease in pregnancy and neonatal outcomes: a systematic review and meta-analysis

Purpose: Associations between rheumatic heart disease (RHD) in pregnancy and fetal outcomes are relatively unknown. This study aimed to review rates and predictors of major adverse fetal outcomes of RHD in pregnancy. Methods: Medline (Ovid), Pubmed, EMcare, Scopus, CINAHL, Informit, and WHOICTRP databases were searched for studies that reported rates of adverse perinatal events in women with RHD during pregnancy. Outcomes included preterm birth, intra-uterine growth restriction (IUGR), low-birth weight (LBW), perinatal death and percutaneous balloon mitral valvuloplasty intervention. Meta-analysis of fetal events by the New-York Heart Association (NYHA) heart failure classification, and the Mitral-valve Area (MVA) severity score was performed with unadjusted random effects models and heterogeneity of risk ratios (RR) was assessed with the I2 statistic. Quality of evidence was evaluated using the GRADE approach. The study was registered in PROSPERO (CRD42020161529). Findings: The search identified 5949 non-duplicate records of which 136 full-text articles were assessed for eligibility and 22 studies included, 11 studies were eligible for meta-analyses. In 3928 pregnancies, high rates of preterm birth (9.35%-42.97%), LBW (12.98%-39.70%), IUGR (6.76%-22.40%) and perinatal death (0.00%-9.41%) were reported. NYHA III/IV pre-pregnancy was associated with higher rates of preterm birth (5 studies, RR 2.86, 95%CI 1.54-5.33), and perinatal death (6 studies, RR 3.23, 1.92-5.44). Moderate /severe mitral stenosis (MS) was associated with higher rates of preterm birth (3 studies, RR 2.05, 95%CI 1.02-4.11) and IUGR (3 studies, RR 2.46, 95%CI 1.02-5.95). Interpretation: RHD during pregnancy is associated with adverse fetal outcomes. Maternal NYHA III/IV and moderate/severe MS in particular may predict poor prognosis

Stakeholders’ influence on environmental sustainability in the Australian hotel industry

Hotels are a key element of the tourism industry. Hotels are the most common form of accommodation for tourists and the hotel industry is intricately to tourism. A review of the academic literature indicates that existing research is primarily focused on sustainability in tourism, but very few studies have analysed the environmental dimension of sustainability in hotels in Australia, an important facet of the Australian tourism industry. The paper presents the findings of the influence of stakeholders on environmentally sustainable policies and practices (ESPPs) in the Australian hotel industry. One‐on‐one interviews were conducted with hotel managers as a representative sample of Australian hotels in Melbourne, Australia. The selected sample for the research comprised managers who manage approximately 60 hotels. The data was collected through in‐depth interviews. It was then transcribed, coded, and analysed with NVIVO, a computer‐aided qualitative data analysis software program. The sample size ensured representation by different segments of the hotel industry to include international chain‐affiliated hotels, Australian chain‐affiliated hotels and independent hotels. An analysis of the findings suggests that owners and shareholders are the biggest influ-encers as their investment takes primary importance. Other key stakeholders such as guests gener-ally play a secondary role in influencing the ESPPs of hotels. ESPPs should lead to well‐intentioned initiatives and practices that are undertaken by stakeholders to create drivers for change to contribute to environmental sustainability

“Resilient Young Smokers” - A Proposed Study in Determining Young Adult Smokers’ Responses Towards Anti-Smoking Initiatives in Australia

Although cigarette smoking rate has declined consistently in the past four decades in Australia, the smoking habit remains popular among some groups. From a marketer’s vantage point, this slowed reduction portrays the less effective implementation of anti-smoking campaigns in Australia. Ideally, each anti-smoking intervention ought to break the chain of marginal utility and lead to a sharp or stepped decline of smoking prevalence. This paper explores the inadequacies of fear factored anti-smoking campaigns and some prevailing reasons why young adult smokers continue to smoke. This paper begins with a review and categorisation of the different reasons of why young adults continue to smoke. These reasons draw on addiction, stress, habit, social-economic factors, self-identity and peer pressure. The rationale for studying these anti-smoking initiatives is to evaluate if these initiatives address the issues of smoking amongst young adults. This paper is significant for formulating effective anti-smoking messages and policy developments in Australia

Combining factorial and multi-arm multi-stage platform designs to evaluate multiple interventions efficiently

BACKGROUND: Factorial-MAMS design platform designs have many advantages, but the practical advantages and disadvantages of combining the two designs have not been explored. METHODS: We propose practical methods for a combined design within the platform trial paradigm where some interventions are not expected to interact and could be given together. RESULTS: We describe the combined design and suggest diagrams that can be used to represent it. Many properties are common both to standard factorial designs, including the need to consider interactions between interventions and the impact of intervention efficacy on power of other comparisons, and to standard multi-arm multi-stage designs, including the need to pre-specify procedures for starting and stopping intervention comparisons. We also identify some specific features of the factorial-MAMS design: timing of interim and final analyses should be determined by calendar time or total observed events; some non-factorial modifications may be useful; eligibility criteria should be broad enough to include any patient eligible for any part of the randomisation; stratified randomisation may conveniently be performed sequentially; and analysis requires special care to use only concurrent controls. CONCLUSION: A combined factorial-MAMS design can combine the efficiencies of factorial trials and multi-arm multi-stage platform trials. It allows us to address multiple research questions under one protocol and to test multiple new treatment options, which is particularly important when facing a new emergent infection such as COVID-19

Mathematical modelling of the impact of expanding levels of malaria control interventions on Plasmodium vivax

Plasmodium vivax poses unique challenges for malaria control and elimination, notably the potential for relapses to maintain transmission in the face of drug-based treatment and vector control strategies. We developed an individual-based mathematical model of P. vivax transmission calibrated to epidemiological data from Papua New Guinea (PNG). In many settings in PNG, increasing bed net coverage is predicted to reduce transmission to less than 0.1% prevalence by light microscopy, however there is substantial risk of rebounds in transmission if interventions are removed prematurely. In several high transmission settings, model simulations predict that combinations of existing interventions are not sufficient to interrupt P. vivax transmission. This analysis highlights the potential options for the future of P. vivax control: maintaining existing public health gains by keeping transmission suppressed through indefinite distribution of interventions; or continued development of strategies based on existing and new interventions to push for further reduction and towards elimination