Evaluation of the Victorian Community Crime Prevention Program: final report

This evaluation finds that the Community Crime Prevention Program is a highly valued contribution to the Victorian community crime prevention and community safety field. Abstract The Community Crime Prevention Program (CCPP), established by the Victorian Government, aims to enhance communities’ capacity to deliver local solutions to crime. It is part of a broader suite of initiatives to reduce the impact of criminal behaviour on Victorians. The Community Crime Prevention Unit (CCPU) is a business unit within the Department of Justice (DOJ) to administer the CCPP. The mainstay of the CCPP is a competitive grants program available to a wide variety of community organisations and local government authorities. Bodies that comply with the qualifying criteria are able to apply for funding in the allocated funding rounds. DOJ commissioned the Australian Institute of Criminology (AIC) to conduct an evaluation of the Victorian CCPP. In order to assess the strategic appropriateness and efficacy of the CCPP the AIC, in consultation with the CCPU and the Regional Directors forum that operates across the DOJ, developed a program logic model and evaluation framework. This informed the development of a comprehensive methodology combining qualitative and quantitative research methods. This included: consultation with key stakeholders; online survey of local government and community organisations; review of CCPP-sponsored interventions; and analysis of administrative data and program documentation relating to the operation of the CCPP. The project was undertaken between February and September 2014

Understanding the local government role in crime prevention

This research offers one of the first detailed insights into the valuable contribution made by local government within the multi-layered crime prevention strategies and initiatives which keep Australian communities safe. Foreword In Australia, crime prevention is primarily the responsibility of state and territory governments. What is less well understood is the significant role of local government in developing and delivering crime prevention at the community level, although councils have long been involved in helping to create safer communities. This research offers one of the first detailed insights into the valuable contribution made by local government within the multi-layered crime prevention strategies and initiatives which keep Australian communities safe. The Drugs and Crime Prevention Committee of the Parliament of Victoria carried out this research as part of an investigation into locally-based approaches to community safety and crime prevention in 2011. The results of a comprehensive survey of the crime prevention activities of local government authorities across Victoria are examined. This study reveals the issues local government prioritises, the responses they deploy and the challenges that they face, such as gaps in capacity and the need to manage complex relationships between participants who work on local community safety. Findings reveal a system that, while highly variable in sophistication and reach, provides an important platform for improving local community safety. The study also identifies important gaps and opportunities to improve collaboration between government and the private and NGO sectors

Atrial fibrillation after minimally invasive direct coronary artery bypass surgery

AbstractOBJECTIVESThe study compared the adjusted risk for developing atrial fibrillation (AF) after minimally invasive direct coronary artery bypass surgery (MIDCAB) and coronary artery bypass graft surgery (CABG).BACKGROUNDAtrial fibrillation results in increased morbidity and delays hospital discharge after CABG. Recently, MIDCAB has been explored as an alternative to CABG. Because of differences in surgical approach between the two procedures, the incidence of AF may differ.METHODSRandomly selected patients undergoing CABG and MIDCAB were examined. Baseline variables and postoperative course were recorded through review of medical record data.RESULTSThe MIDCAB patients were younger than CABG patients (64 ± 12 vs. 67 ± 10, p < 0.04) and had less extensive coronary artery disease (53% of MIDCAB vs. 3% of CABG had single-vessel disease, while 15% of MIDCAB vs. 69% of CABG had triple-vessel disease, p < 0.001 for overall group comparisons). No other differences in clinical or treatment data were noted. Postoperative AF occurred less often after MIDCAB (23% vs 39%, p = 0.02). Other significant factors associated with postoperative AF included age (p = 0.0024), prior AF (p = 0.0007), left main disease (p = 0.01), number of vessels bypassed (p = 0.009), absence of postoperative beta-blocker therapy (p = 0.0001), and a serious postoperative complication (p = 0.0018). Because of differences between CABG and MIDCAB patients, multivariate logistic analysis was performed to determine independent predictors of postoperative AF. The type of surgery (CABG vs. MIDCAB) was no longer a significant predictor of postoperative AF (estimated relative risk for AF in CABG vs. MIDCAB patients: 1.57, 95% confidence interval (0.82–2.52).CONCLUSIONSAlthough AF appears to be less common after MIDCAB than after CABG, the lower incidence is due to different clinical characteristics of patients undergoing these procedures

Erythropoeitin dose variation in different facilities in different countries and its relationship to drug resistance Management of comorbidities in kidney disease in the 21st century: Anemia and bone disease

Erythropoeitin dose variation in different facilities in different countries and its relationship to drug resistance.BackgroundThe correction of anemia using erythropoeitin (EPO) is accorded high priority in the management of patients undergoing hemodialysis (HD). Target hemoglobin (Hb) levels have been established in many countries. Following an observation that the mean facility EPO dose in a chain of facilities in the United States varied by more than two-fold, an examination of the practice of anemia correction in other settings was carried out.MethodsWe reviewed demographic and laboratory parameters in prevalent HD patients in 50 United States facilities and in a single HD facility in Vicenza, Italy. The mean EPO dose profile of the United States facilities was compared with the profiles in 10 facilities in the eastern United Kingdom (UKER) and in 20 facilities reporting to the United Kingdom Renal Registry (UKRR). Analysis of the factors that correlate with EPO resistance was carried out using the United States and Italian data.ResultsThe average EPO doses, by facility, in the 51 United States, the 10 UKER, and the 19 UKRR facilities were 19,569, 8,416, and 7,992 international units per week (IU/wk), respectively. While examination of the UKRR revealed a similar degree of inter-facility variation (2.6-fold), much larger doses of EPO were being administered in the United States patients, particularly in the low Hb group. Multivariate analysis of the United States data suggested that factors related to inflammation, including low albumin, the use of tunneled catheters for vascular access, and low protein catabolic rate (enPCR) correlated with low Hb and relative EPO resistance.ConclusionDespite similar guidelines for anemia management, significant differences in practice are observed. While there seems to be a reluctance to administer large EPO doses to individual patients in Europe, this does not seem to apply in the United States, where more EPO is given. EPO resistance seems relative rather than absolute in many patients, allowing some to respond to the higher doses

The whole of government approach to crime prevention

Whole of government approaches assume that because the causes of crime are complex and multifaceted, then preventive responses will be more effective if the efforts of all the relevant government agencies and community and business groups are combined into a single coordinated strategy. However, using the experience of the UK\u27s Crime Reduction Programme, Peter Homel illustrates that implementing a whole of government approach can present many practical challenges and difficulties that need to be carefully planned for and managed so that the improved benefits outweigh the additional costs