Asthma hospitalisation trends from 2010 to 2015: variation among rural and metropolitan Australians

Abstract Background Asthma remains a leading cause of illness, where primary care can assist to reduce hospitalisations through prevention, controlling acute episodes, and overall management of asthma. In Victoria, Asthma hospitalisations were as high as 3.1 hospitalisations per 1000 population in 1993–94. The primary aims of this study are to: determine if changes in asthma hospitalisations have occurred between 2010 and 2015; determine the key factors that impact asthma hospitalisation over time; and verify whether rural and urban asthma hospitalisations are disparate. A secondary aim of the study is to compare 2010–2015 results with asthma data prior to 2010. Methods Hospital separation data from 1 July 2010 to 30 June 2015 were obtained through the Victorian Admitted Episodes Dataset and other agencies. Data included sex, age, Local Government Area, private or public patient, length of stay, and type of discharge. Asthma and predictor variables were analysed according to hospital separation rates after adjusting for smoking and sex. Hierarchical multiple regression examined the association between asthma and predictor variables. Results During the study period, 49,529 asthma hospital separations occurred, of which 77.5% were in metropolitan hospitals, 55.4% hospital separations were aged 0–14 years, and 21.7% were privately funded. State-wide hospital separations were 1.85 per 1000 population and were consistently higher in metropolitan compared to rural areas (1.93 vs 1.64 per 1000 population). When data among metropolitan adults aged 15 and over were analysed, an increase in the proportion of smokers in the population was reflected by an increase in the number of hospital separations (Adj OR 1.035). Further, among rural and metropolitan children aged 0–14 the only predictor of asthma hospital separations was sex, where metropolitan male children had higher odds of separation than metropolitan females of the same age (Adj OR 4.297). There was no statistically meaningful difference for separation rates between males and females in rural areas. Conclusions We demonstrated a higher overall hospital separation rate in metropolitan Victoria. For children in metropolitan areas, males were hospitalised at higher rates than females, while the inverse was demonstrated for children residing in rural areas. Therefore, optimising asthma management requires consideration of the patient’s age, gender and residential context. Primary health care may play a leading role in increasing health literacy for patients in order to improve self-management and health-seeking behaviour

Dust Devil Populations and Statistics

The highly-skewed diameter and pressure drop distributions of dust devils on Earth and Mars are noted, and challenges of presenting and comparing different types of observations are discussed. The widely- held view that Martian dust devils are larger than Earth\u27s is critically-assessed: the question is confounded somewhat by different observation techniques, but some indication of a ~3x larger population on Mars is determined. The largest and most intense (in a relative pressure sense) devils recorded are on Mars, although the largest reported number density is on Earth. The difficulties of concepts used in the literature of \u27average\u27 diameter, pressure cross section, and area fraction are noted in the context of estimating population-integral effects such as dust lifting

History and Applications of Dust Devil Studies

Studies of dust devils, and their impact on society, are reviewed. Dust devils have been noted since antiquity, and have been documented in many countries, as well as on the planet Mars. As time-variable vortex entities, they have become a cultural motif. Three major stimuli of dust devil research are identified, nuclear testing, terrestrial climate studies, and perhaps most significantly, Mars research. Dust devils present an occasional safety hazard to light structures and have caused several deaths

Functional Analysis of Zebrafish socs4a: Impacts on the Notochord and Sensory Function

The suppressor of cytokine signaling (SOCS) proteins play important roles in cytokine and growth factor signaling, where they act principally as negative feedback regulators, particularly of the downstream signal transducer and activator of transcription (STAT) transcription factors. This critical mode of regulation impacts on both development and homeostasis. However, understanding of the function of SOCS4 remains limited. To address this, we investigated one of the zebrafish SOCS4 paralogues, socs4a, analyzing its expression and the consequences of its ablation. The socs4a gene had a dynamic expression profile during zebrafish embryogenesis, with initial ubiquitous expression becoming restricted to sensory ganglion within the developing nervous system. The knockdown of zebrafish socs4a revealed novel roles in notochord development, as well as the formation of a functional sensory system

Peer mentoring for eating disorders:Evaluation of a pilot program

Background Eating disorders are serious psychiatric illnesses that are often associated with poor quality of life and low long-term recovery rates. Peer mentor programs have been found to improve psychiatric symptoms and quality of life in other mental illnesses, and a small number of studies have suggested that eating disorder patients may benefit from such programs. The aim of this study is to assess the efficacy of a peer mentor program for individuals with eating disorders in terms of improving symptomatology and quality of life. Methods Up to 30 individuals with a past history of an eating disorder will be recruited to mentor 30 individuals with a current eating disorder. Mentoring will involve 13 sessions (held approximately every 2 weeks), of up to 3 h each, over 6 months. Discussion This pilot proof-of-concept feasibility study will inform the efficacy of a peer mentoring program on improving eating disorder symptomatology and quality of life, and will inform future randomised controlled trials

Resettlement and relocation options for coastal communities

With a nation highly vulnerable, with a risk index of 28.57% and ranked second worldwide by the World Risk Report to be affected by disasters caused by natural hazards and to the effects of climate change, many people are ramping up plans to address these projected events. As a result, it is a necessity for Tonga to strengthen its response to climate change, continue to be more resilient, and, most importantly, address migration and human rights in the context of climate change (e.g., climigration). Here, a concurrent convergence parallel triangulation design of 460 residents from 5 coastal communities, Kanokupolu, ‘Ahau, Tukutonga, Popua, and Manuka in Tongatapu, Tonga, was used – to provide a better understanding of whether people in these communities needed a resettlement and relocation options or not. The quantitative analysis revealed that based on this sample, people in this chapter would choose Australia and New Zealand as the two most preferred countries for climigration. The same factors were explored qualitatively and found Australia to be the preferment country for climigration. Based on this result, it is recommended that a relocation and/or climigration policy should be adopted for Tonga as part of its resilient Tonga by 2035 and beyond