+publisher:"University of Adelaide" +contributor:("School of Population Health")

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University of Adelaide

1. Orme, Geoffrey John. The post deployment reintegration of Australian army reservists.

Degree: 2015, University of Adelaide

URL: http://hdl.handle.net/2440/92809

► The aim of the present research was to delineate the effects of deployment on Australian Army reservists serving on low-threat overseas stability operations. Even without… (more)

▼ The aim of the present research was to delineate the effects of deployment on Australian Army reservists serving on low-threat overseas stability operations. Even without exposure to traumatic events, reservists face challenges that differ from regular soldiers who prepare, deploy, and return within the constant context of their unit and wider army. More like civilian workers who deploy overseas to assist in disaster and post-conflict zones, Australian Army reservists are coalesced into temporary formations. They then leave the context of their families and civilian employment for the deployment and then return back to their civilian lives, often abruptly Participants were Army reservists deployed to Timor L'Este for seven months (N=92) in 2002/03, and three consecutive groups (N=350) deployed to the Solomon Islands in 2006/07. The research was broadened to also incorporate the experiences of civilian employers (N=126) and families (N=32) of Army reservists, whose experiences were largely unknown. The major findings across studies were as follows: 1) Reservists from all study groups returned in sound mental health and settled well. Measures taken at the end of deployment, six months after return, and two years post deployment found low rates of referrals for follow-up, low scores on mental health screening instruments (KI0, PCL-C, DASS-42), and a relatively unchanged pattern of alcohol use (AUDIT). 2) The deployment experience was reported as positive by 65-67%, with the number of positive statements (558) exceeding the number of negative statements (438) by a ratio of 1.30:1.00. 3) Readjustment to civilian life appeared uncomplicated and the reservists continued to be actively engaged with the Army. Their retention in a deployable status was more than twice the level seen among reservists as a whole. They promptly returned to service with their provider units after a substantial absence, despite what would have been the attractions and demands to attend to family, study, and civilian employment activities. Between 12%-25% enlisted in the regulars following their overseas service, and around 12% deployed overseas again within two years of returning. 4) As expected with low-threat military operations, traumatic stressors were only infrequently reported. Nevertheless, the few non-traumatic stressors reported by reservists during their tours were inversely associated with their reported deployment experience and what psychological distress could be detected. The primary source of a less-than-positive deployment experience and slightly elevated psychological distress predominately emanated from work-related sources, for example, the behaviour of others, leadership, and double standards. 5) These associations with non-traumatic stressors were moderated by psychological hardiness. Reservists with higher levels of hardiness nearly always reported a positive experience and negligible psychological distress, while reservists with lower levels of hardiness were more likely to report a less-than-positive deployment experience… Advisors/Committee Members: Kehoe, E. James (advisor), School of Population Health (school).

Subjects/Keywords: reservists; hardiness; deployment; adjustment

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APA (6^th Edition):

Orme, G. J. (2015). The post deployment reintegration of Australian army reservists. (Thesis). University of Adelaide. Retrieved from http://hdl.handle.net/2440/92809

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Orme, Geoffrey John. “The post deployment reintegration of Australian army reservists.” 2015. Thesis, University of Adelaide. Accessed January 19, 2021. http://hdl.handle.net/2440/92809.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Orme, Geoffrey John. “The post deployment reintegration of Australian army reservists.” 2015. Web. 19 Jan 2021.

Vancouver:

Orme GJ. The post deployment reintegration of Australian army reservists. [Internet] [Thesis]. University of Adelaide; 2015. [cited 2021 Jan 19]. Available from: http://hdl.handle.net/2440/92809.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Orme GJ. The post deployment reintegration of Australian army reservists. [Thesis]. University of Adelaide; 2015. Available from: http://hdl.handle.net/2440/92809

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Adelaide

2. Pratt, Nicole. Medication prescribing in the elderly and the effect on health related outcomes: an investigation of bias in observational studies using computerised claims databases.

Degree: 2010, University of Adelaide

URL: http://hdl.handle.net/2440/63634

► Background: This thesis explores the effects of medication prescribing on patient outcomes in an ageing population, specifically, the population of Australian veterans. The primary source… (more)

▼ Background: This thesis explores the effects of medication prescribing on patient outcomes in an ageing population, specifically, the population of Australian veterans. The primary source of data is the computerised administrative claims database maintained by the Commonwealth Department of Veterans' Affairs. This database is a valuable resource yet knowledge about how these data can be analysed and interpreted to study the effects of medicine use in the Australian setting is limited. An important source of bias in observational studies relating medication prescribing to health outcomes arises from confounding by the reason for prescription, or confounding by indication. The extent to which traditional pharmacoepidemiological studies utilising administrative claims databases can deal with confounding is limited as these data sources often lack information on many potentially important confounders, such as clinical information, life style factors and disease severity. Aim: The aim of this thesis was to investigate the use of two methods, developed to overcome possible bias in observational studies due to unmeasured confounding; instrumental variable analysis and the self-controlled case-series design. To illustrate how these techniques may be used to overcome confounding, I investigate how they apply to the assessment of the adverse effects of antipsychotic prescribing in the elderly. Methods: The instrumental variable analysis was used to compare the risk of death, hip fracture and pneumonia between the antipsychotic classes. The instrumental variable analysis aims to control for unmeasured confounding by attempting to mimic the process of random assignment in a randomised controlled trial. The self-controlled case-series design was used to investigate the risk of hospitalisation for stroke, hip fracture and pneumonia associated with antipsychotic initiation. The self-controlled case-series design uses a patient as their own control, thereby implicitly controlling for constant patient specific confounders, even those that are unmeasured. Results: Using a cohort of 20,205 elderly patients aged over 65 years of age, I have shown that the profiles of patients receiving antipsychotic medicines vary between the class of antipsychotic initiated and those variables that differ are likely to be associated with the reported adverse events of these medicines. This indicates the potential for confounding in observational studies of antipsychotics and suggests that appropriate study designs are required to minimise the effect of confounding in order to get a clear understanding of the potential adverse events of these medicines. The instrumental variable analysis suggested that typical antipsychotics were associated with an extra 24 (95% confidence interval (CI) 18-30) deaths per 100 patients per year compared to atypical antipsychotics, and an extra 10 (95% CI 7-14) deaths per 100 patients per year among nursing home residents. In this analysis I proposed a new instrument, facility prescribing preference, as an alternative… Advisors/Committee Members: Ryan, Philip (advisor), School of Population Health and Clinical Practice (school).

Subjects/Keywords: antipsychotics; confounding; self-controlled; case-series; instrumental variable; hip fracture; pneumonia; death; elderly

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APA (6^th Edition):

Pratt, N. (2010). Medication prescribing in the elderly and the effect on health related outcomes: an investigation of bias in observational studies using computerised claims databases. (Thesis). University of Adelaide. Retrieved from http://hdl.handle.net/2440/63634

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Pratt, Nicole. “Medication prescribing in the elderly and the effect on health related outcomes: an investigation of bias in observational studies using computerised claims databases.” 2010. Thesis, University of Adelaide. Accessed January 19, 2021. http://hdl.handle.net/2440/63634.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Vancouver:

Pratt N. Medication prescribing in the elderly and the effect on health related outcomes: an investigation of bias in observational studies using computerised claims databases. [Internet] [Thesis]. University of Adelaide; 2010. [cited 2021 Jan 19]. Available from: http://hdl.handle.net/2440/63634.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Pratt N. Medication prescribing in the elderly and the effect on health related outcomes: an investigation of bias in observational studies using computerised claims databases. [Thesis]. University of Adelaide; 2010. Available from: http://hdl.handle.net/2440/63634

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Adelaide

3. Kurtin, Marijeta. An investigation into the mental health needs of adolescents in rural areas of South Australia.

Degree: 2011, University of Adelaide

URL: http://hdl.handle.net/2440/66284

► Background & Aims: Recent statistics indicate that up to 20% of Australian adolescents experience the burden of having a mental health problem. International research has… (more)

▼ Background & Aims: Recent statistics indicate that up to 20% of Australian adolescents experience the burden of having a mental health problem. International research has suggested that inhabitants of rural areas are at particular risk of mental health morbidity due to their location. Prior Australian research on the subject of rural mental health has tended to have an adult focus, neglecting adolescents. This PhD project sought to gain a deeper understanding of the mental health needs of adolescents in several rural areas of South Australia, and investigate how the experience of 'rurality' influenced mental health and wellbeing. Specifically, this project investigated: the mental health and wellbeing of adolescents; the perceptions held about adolescent mental health needs as described by both human service providers practicing in rural South Australian communities and the adolescents residing in them; and finally, comparing the mental health and wellbeing of adolescents observed over the past four to eight years. Methodology: A mixed-methodological study design was employed, with four separate studies undertaken. Two qualitative studies were initially conducted and they utilised individual interviews and focus group discussions to collect information from 38 rural human service providers and 44 adolescents about the mental health needs they could identify in their communities. In conjunction with this, two quantitative studies were conducted which investigated the mental health and wellbeing of 332 rural adolescents via a questionnaire. Results from this questionnaire study were then compared to existing South Australian data collected in 2001, 2003 and 2005, the aim being to investigate differences in mental health and wellbeing between groups across the three different time periods. Results: A qualitative study of human service providers in four rural townships identified five major influences on adolescent mental health care in local communities: Community and Society Factors; Youth Issues, Indigeneity; Service Delivery and Utilisation; and Occupational Factors. Significant gaps in mental health service delivery were identified and better implementation of existing resources was identified as being more important than the absence of resources per se. Framework Analysis of qualitative data collected from focus groups with rural adolescents identified three overarching concepts perceived as having an impact on mental health: Recognition and Knowledge; Social Problems; and Accessing Care. Adolescents proved to be highly knowledgeable about the mental health problems in their communities and made six recommendations for improving future service delivery. Their main concerns centred on – reducing the stigma of mental health issues in their rural communities, and importing 'younger', less 'formal', mental health staff. The final two studies employed a questionnaire to investigate self-reported mental health and wellbeing. Amongst the adolescents sampled (N=332), gender differences were evident according to… Advisors/Committee Members: Barton, Christopher Allan (advisor), School of Population Health and Clinical Practice (school).

Subjects/Keywords: adolescent; mental health; rural health; mixed methods

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Kurtin, M. (2011). An investigation into the mental health needs of adolescents in rural areas of South Australia. (Thesis). University of Adelaide. Retrieved from http://hdl.handle.net/2440/66284

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Kurtin, Marijeta. “An investigation into the mental health needs of adolescents in rural areas of South Australia.” 2011. Thesis, University of Adelaide. Accessed January 19, 2021. http://hdl.handle.net/2440/66284.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Kurtin, Marijeta. “An investigation into the mental health needs of adolescents in rural areas of South Australia.” 2011. Web. 19 Jan 2021.

Vancouver:

Kurtin M. An investigation into the mental health needs of adolescents in rural areas of South Australia. [Internet] [Thesis]. University of Adelaide; 2011. [cited 2021 Jan 19]. Available from: http://hdl.handle.net/2440/66284.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Kurtin M. An investigation into the mental health needs of adolescents in rural areas of South Australia. [Thesis]. University of Adelaide; 2011. Available from: http://hdl.handle.net/2440/66284

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Adelaide

4. Yelland, Lisa Nicole. Statistical issues associated with the analysis of binary outcomes in randomised controlled trials when the effect measure of interest is the relative risk.

Degree: 2011, University of Adelaide

URL: http://hdl.handle.net/2440/74129

► Background: Binary outcomes have traditionally been analysed using logistic regression which estimates odds ratios. A popular alternative is to estimate relative risks using log binomial… (more)

▼ Background: Binary outcomes have traditionally been analysed using logistic regression which estimates odds ratios. A popular alternative is to estimate relative risks using log binomial regression. Due to convergence problems with this model, alternative methods have been proposed for estimating relative risks. Comparisons between methods are limited and guidance on which method(s) should be used in practice is lacking. These methods are often applied to clustered data, despite the absence of evidence supporting their use in this setting. Comparison of methods in the clustered data setting via simulation is difficult. The simulation model requires specification of the random effects variance on the log scale, but the intraclass correlation coefficient (ICC) on the probability scale is the preferred measure of dependence. The relationship between the ICC and the random effects variance has been defined under the logistic model but not the log binomial model. The appropriate method for analysing binary outcomes from perinatal trials which include infants from multiple births is a matter of debate, and relative risks have received little attention in this context. Aim: To investigate statistical issues associated with the analysis of binary outcomes in randomised controlled trials (RCTs) when the effect measure of interest is the relative risk. Specifically, the aims are: • To compare the performance of methods for estimating relative risks in RCTs with independent and clustered observations; • To determine the relationship between the ICC on the probability scale and the between cluster variance on the log scale; • To provide guidance on the analysis of binary outcomes from perinatal trials including infants from multiple births. Methods: Simulation studies are conducted to compare methods for estimating relative risks using independent and clustered data. To determine the ICC in the latter scenario, the relationship between the ICC on the probability scale and the random effects variance on the log scale is derived. Additional simulation studies are conducted to determine how different analytical methods compare in perinatal trials with multiple births. Example datasets are analysed for illustration. Results: Some methods for estimating relative risks are associated with large bias and poor coverage. Others fail to overcome the convergence problems of log binomial regression. Several methods perform well across a wide range of independent and clustered data settings, including modified Poisson regression. When simulating clustered data, the ICC can be determined from the random effects variance on the log scale based on a Taylor series expansion or properties of the lognormal distribution. Failure to account for clustering in perinatal trials including multiple births leads to inflated type I errors and undercoverage, unless both the ICC and the multiple birth rate are low. Conclusion: Relative risks are a useful measure of effect for binary outcomes. Difficulties in estimating relative risks due to convergence… Advisors/Committee Members: Ryan, Philip (advisor), Salter, Amy Beatrix (advisor), School of Population Health and Clinical Practice (school).

Subjects/Keywords: statistics; binary outcome; relative risk; randomised trial; clustered data

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Yelland, L. N. (2011). Statistical issues associated with the analysis of binary outcomes in randomised controlled trials when the effect measure of interest is the relative risk. (Thesis). University of Adelaide. Retrieved from http://hdl.handle.net/2440/74129

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Yelland, Lisa Nicole. “Statistical issues associated with the analysis of binary outcomes in randomised controlled trials when the effect measure of interest is the relative risk.” 2011. Thesis, University of Adelaide. Accessed January 19, 2021. http://hdl.handle.net/2440/74129.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Vancouver:

Yelland LN. Statistical issues associated with the analysis of binary outcomes in randomised controlled trials when the effect measure of interest is the relative risk. [Internet] [Thesis]. University of Adelaide; 2011. [cited 2021 Jan 19]. Available from: http://hdl.handle.net/2440/74129.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Yelland LN. Statistical issues associated with the analysis of binary outcomes in randomised controlled trials when the effect measure of interest is the relative risk. [Thesis]. University of Adelaide; 2011. Available from: http://hdl.handle.net/2440/74129

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Adelaide

5. Wise, Vikki. Panic disorder : an integrative assessment of brain, body and cognitive function.

Degree: 2012, University of Adelaide

URL: http://hdl.handle.net/2440/77941

► Panic disorder is a highly generalised anxiety disorder in the sense that, even in the absence of panic, it is associated with wide–ranging abnormalities across… (more)

▼ Panic disorder is a highly generalised anxiety disorder in the sense that, even in the absence of panic, it is associated with wide–ranging abnormalities across multiple levels of function (e.g., central and peripheral physiology, behaviour, cognition, affect) (Friedman, 2007). Although the extant research literature has typically examined responses to explicitly threat–related stimuli in PD, it is increasingly recognised that panic disordered individuals differ from unaffected controls in their response to normatively non–threatening events, including ‘resting state’ paradigms (Grillon, 2008). In comparison to less integrative research designs, multivariate, multi–level research may more comprehensively characterise function during the disorder’s tonic, between–panic manifestation. The present research therefore examined PD in the between–panic state with an integrative psychophysiological and neuropsychological assessment comprising a range of normatively non–threatening paradigms. Clinical participants with current PD (n = 53) and demographically–matched healthy control participants (n = 106) completed an extensive laboratory–based assessment of brain, body and cognitive function, the results of which are reported as three studies. In Study 1, quantitative electroencephalography and autonomic (cardiovascular and electrodermal) measures were concomitantly recorded during two resting state conditions. The findings of this study demonstrate multiple abnormalities of brain and body function at rest in PD. Findings of note include diminished synchronised electrocortical activity within the alpha–1 frequency range, increased heart rate and decreased beat–to–beat heart rate modulation (i.e. heart rate variability) in PD compared to controls. In Study 2, event–related potential (ERP), autonomic and behavioural measures were obtained during performance of an auditory oddball task, to examine sensory information processing and the allocation of attention to goal–relevant, non–threatening stimuli in PD. Patients and controls differed on numerous ERP and behavioural indices. ERP findings of note include reduced P3 amplitude to infrequent auditory tones in PD compared to controls, and increased N1 amplitude to frequent, irrelevant tones. Study 3 examined cognitive function in PD with an extensive neuropsychological test battery comprising tests selected to assess the core cognitive domains of attention, memory, executive functions, language and sensory–motor function. The results support a selective deficit in the cognitive domain of sustained attention, but normative function in the other assessed cognitive domains. Considered together, many of the research findings indicate either impaired attentional processing or diminished capacity for attentional processing in PD. The findings also fit a theoretical model of diminished physiological flexibility, which proposes that in generalised anxiety disorders such as PD there is less physiological differentiation of baseline activity and stress–related reactivity to minor everyday… Advisors/Committee Members: McFarlane, Alexander Cowell (advisor), Clark, Richard C. (advisor), School of Population Health and Clinical Practice (school).

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Wise, V. (2012). Panic disorder : an integrative assessment of brain, body and cognitive function. (Thesis). University of Adelaide. Retrieved from http://hdl.handle.net/2440/77941

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Wise, Vikki. “Panic disorder : an integrative assessment of brain, body and cognitive function.” 2012. Thesis, University of Adelaide. Accessed January 19, 2021. http://hdl.handle.net/2440/77941.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Wise, Vikki. “Panic disorder : an integrative assessment of brain, body and cognitive function.” 2012. Web. 19 Jan 2021.

Vancouver:

Wise V. Panic disorder : an integrative assessment of brain, body and cognitive function. [Internet] [Thesis]. University of Adelaide; 2012. [cited 2021 Jan 19]. Available from: http://hdl.handle.net/2440/77941.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Wise V. Panic disorder : an integrative assessment of brain, body and cognitive function. [Thesis]. University of Adelaide; 2012. Available from: http://hdl.handle.net/2440/77941

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Adelaide

6. Pekarsky, Brita Anna Kollontai. Trust, constraints and the counterfactual: reframing the political economy of new drugs.

Degree: 2012, University of Adelaide

URL: http://hdl.handle.net/2440/79171

► This thesis uses an applied game theoretic framework to address the following question: What is the population health maximising decision threshold price for a new… (more)

▼ This thesis uses an applied game theoretic framework to address the following question: What is the population health maximising decision threshold price for a new drug? This threshold accommodates: strategic behaviour; inefficiencies in the health care system; budget constraints; suboptimality of displacement to finance the additional cost of new drugs; failure of markets to develop evidence of unpatented services; and the relationship between drug price and future innovation and health. A framework (price effectiveness analysis, PEA) for the analysis of the reimbursement process as a strategic interaction is proposed and tested. PEA uses the results of cost effectiveness analyses as inputs in a model that derives the population health outcomes of reimbursement: the net health effect of i) adoption of the new drug; and ii) displacement to finance its additional costs. The first result is that the health shadow price, βc, is the population health maximising decision threshold, under the conditions of a fixed and allocatively inefficient budget: βc = (1/n-1/m + 1/d)⁻¹ where n is the most cost effective of existing programs in expansion or adoption; m is the least cost effective in contraction, and d is the average ICER of services displaced to finance the additional costs of the new drug at the offer price. Allocative inefficiency is characterised by m-n and suboptimality of displacement by m-d. The second result is that there are restrictive conditions under which there is an incentive for a rational institution to pay a price above βc to take into account the relationship between price and future innovation. However, if these conditions are met, the firm will prefer to raise funds through the capital market rather than contract with an institution. Currently, reimbursing institutions provide an incentive to develop evidence of the cost and effect of patented health technologies. Adopting βc as the new drug decision threshold places a value on evidence of the least and most cost effective services, regardless of whether they are being proposed for reimbursement. Hence, the market’s failure to provide evidence of unpatentable and unpatented health services is addressed and the health gains possible from a budget increased. Advisors/Committee Members: Karnon, Jonathan Daniel (advisor), Eckermann, Simon Douglas (advisor), School of Population Health and Clinical Practice (school).

Subjects/Keywords: health economics; pharmaceutical prices; applied game theory; pharmaco-economics

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Pekarsky, B. A. K. (2012). Trust, constraints and the counterfactual: reframing the political economy of new drugs. (Thesis). University of Adelaide. Retrieved from http://hdl.handle.net/2440/79171

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Pekarsky, Brita Anna Kollontai. “Trust, constraints and the counterfactual: reframing the political economy of new drugs.” 2012. Thesis, University of Adelaide. Accessed January 19, 2021. http://hdl.handle.net/2440/79171.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Pekarsky, Brita Anna Kollontai. “Trust, constraints and the counterfactual: reframing the political economy of new drugs.” 2012. Web. 19 Jan 2021.

Vancouver:

Pekarsky BAK. Trust, constraints and the counterfactual: reframing the political economy of new drugs. [Internet] [Thesis]. University of Adelaide; 2012. [cited 2021 Jan 19]. Available from: http://hdl.handle.net/2440/79171.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Pekarsky BAK. Trust, constraints and the counterfactual: reframing the political economy of new drugs. [Thesis]. University of Adelaide; 2012. Available from: http://hdl.handle.net/2440/79171

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Adelaide

7. Anikeeva, Olga. Changing disease patterns amongst migrants: a focus on the Australian national health priority areas.

Degree: 2011, University of Adelaide

URL: http://hdl.handle.net/2440/81754

► The broad aim of this thesis was to explore trends in migrant mortality and morbidity rates in Australia between 1981 and 2007. The focus was… (more)

▼ The broad aim of this thesis was to explore trends in migrant mortality and morbidity rates in Australia between 1981 and 2007. The focus was on conditions that are part of the National Health Priority Areas. Approximately one in four Australians was born overseas and although they generally enjoy better health than the Australian-born population, there are a number of conditions in which some migrant groups are over represented, including diabetes and stomach cancer. This study consisted of three parts: the first dealt with mortality trends, the second with the impact of duration of residence on mortality rates and the third with hospitalisation trends. Mortality data were obtained from the Australian Bureau of Statistics, while hospitalisation data were acquired from the Australian Institute of Health and Welfare. Directly age- and sex-standardised mortality and hospitalisation rates were computed for each of the migrant groups and conditions of interest. These rates were compared to those for the Australian-born population and time trends were examined. While for many conditions mortality and hospitalisation rates reduced over the study period, the reverse was true for musculoskeletal conditions, melanoma, diabetes and mental health disorders, which may reflect greater exposure to risk factors or a lack of culturally appropriate support services. Furthermore, an increase in prostate cancer hospitalisations was observed, which may in part be explained by greater participation in screening. Migrants displayed lower mortality and hospitalisation rates compared to the Australian-born population and tended to retain their health advantage with increasing time spent in Australia. Migrants born in Southern Europe and Asia had the greatest health advantage, with low rates of colorectal cancer and cardiovascular disease. However, there were a number of notable exceptions such as diabetes, where individuals born in Southern Europe and Southern Asia displayed high morbidity and mortality rates, in part explained by their genetic predisposition to glucose intolerance, higher BMI and abdominal obesity. Stomach cancer was more prevalent among Southern and Eastern European and Chinese migrants. Liver and bladder cancer were also more common among migrants from Southern and Eastern Europe, Chinese Asia and South East Asia. The main strengths of this study included the focus on the entire Australian population, which enabled the analysis of mortality and hospitalisation trends among smaller migrant groups, such as those originating from Sub-Saharan Africa. Furthermore, the study provided an important update of knowledge in this field, where few studies focusing on a range of conditions have been conducted in recent years. The findings have implications for public health policy and practice as well as medical services, both for migrants and the Australian-born population. Migrants at risk of specific health problems should be targeted by health promotion programs that incorporate education about risk factors, screening, fitness… Advisors/Committee Members: Bi, Peng (advisor), Hiller, Janet Esther (advisor), Ryan, Philip (advisor), School of Population Health (school).

Subjects/Keywords: migrants; Australia; mortality trends; hospitalisation trends

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Anikeeva, O. (2011). Changing disease patterns amongst migrants: a focus on the Australian national health priority areas. (Thesis). University of Adelaide. Retrieved from http://hdl.handle.net/2440/81754

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Anikeeva, Olga. “Changing disease patterns amongst migrants: a focus on the Australian national health priority areas.” 2011. Thesis, University of Adelaide. Accessed January 19, 2021. http://hdl.handle.net/2440/81754.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Anikeeva, Olga. “Changing disease patterns amongst migrants: a focus on the Australian national health priority areas.” 2011. Web. 19 Jan 2021.

Vancouver:

Anikeeva O. Changing disease patterns amongst migrants: a focus on the Australian national health priority areas. [Internet] [Thesis]. University of Adelaide; 2011. [cited 2021 Jan 19]. Available from: http://hdl.handle.net/2440/81754.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Anikeeva O. Changing disease patterns amongst migrants: a focus on the Australian national health priority areas. [Thesis]. University of Adelaide; 2011. Available from: http://hdl.handle.net/2440/81754

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Adelaide

8. Gillam, Marianne Knarberg Hansen. Time to event analysis of arthroplasty registry data.

Degree: 2013, University of Adelaide

URL: http://hdl.handle.net/2440/82454

► Background: Arthroplasty registry data are traditionally analysed using standard survival methods, that is, Kaplan-Meier survival curves and the Cox proportional hazards model. The outcome of… (more)

▼ Background: Arthroplasty registry data are traditionally analysed using standard survival methods, that is, Kaplan-Meier survival curves and the Cox proportional hazards model. The outcome of interest is usually the time from the primary procedure until occurrence of a single event – revision of the prosthesis. Other outcomes may also be of interest, for example, time to death, time to receiving another arthroplasty and the association between covariates and these events. The rise in life expectancy of the population combined with an increasing number of joint replacements being performed has resulted in many patients experiencing several joint replacement procedures during their lifetime. The analyses of registry data such as these require the use of more sophisticated statistical methods. Application and evaluation of statistical methods to analyse registry data containing complex arthroplasty histories are lacking. Aim: The aim of this thesis was to investigate the use of statistical methods in the analysis of multiple event data contained in arthroplasty registries. Within this broad aim the objectives were to investigate the use of competing risks methods in estimating the risk and rate of revision, investigate methods for handling covariates with time-varying effect, investigate the use of multi-state modelling techniques in providing a more comprehensive analysis and description of complex arthroplasty histories than traditional survival methods and to develop a notation system to facilitate the description and analysis of arthroplasty event history data. Methods: Data were obtained from the Australian Orthopaedic Association National Joint Replacement Registry and the Norwegian Arthroplasty Register. Estimates of revision from the Kaplan-Meier method were compared to estimates from the cumulative incidence function which accounts for the competing risk of death. Effects of covariates on the rate and risk of revision were estimated with competing risk regression and compared to estimates from the Cox proportional hazards model. Multi-state models were set up and applied to the data. The Summary Notation for Arthroplasty Histories (SNAH) was developed in order to help manage and analyse this type of data. Results: The Kaplan-Meier method substantially overestimated the risk of revision compared to estimates using competing risks methods when the incidence of the competing risk of death was high. The influence of some covariates on the hazard rate was different to the influence on the actual probability of occurrence of the event as this was modulated by their relationship with the competing event. Multi-state models, in combination with SNAH codes, were well suited to the management and analysis of arthroplasty registry data on patients who had multiple joint procedures over time. Multi-state modelling techniques proved useful in the investigation of the progression of end-stage osteoarthritis in data from two national arthroplasty registries. Conclusion: In the presence of competing risks, the Kaplan-Meier… Advisors/Committee Members: Ryan, Philip (advisor), Salter, Amy Beatrix (advisor), School of Population Health (school).

Subjects/Keywords: arthroplasty; hip; knee; statistical analysis; multi-state models; registry data

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Gillam, M. K. H. (2013). Time to event analysis of arthroplasty registry data. (Thesis). University of Adelaide. Retrieved from http://hdl.handle.net/2440/82454

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Gillam, Marianne Knarberg Hansen. “Time to event analysis of arthroplasty registry data.” 2013. Thesis, University of Adelaide. Accessed January 19, 2021. http://hdl.handle.net/2440/82454.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Gillam, Marianne Knarberg Hansen. “Time to event analysis of arthroplasty registry data.” 2013. Web. 19 Jan 2021.

Vancouver:

Gillam MKH. Time to event analysis of arthroplasty registry data. [Internet] [Thesis]. University of Adelaide; 2013. [cited 2021 Jan 19]. Available from: http://hdl.handle.net/2440/82454.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Gillam MKH. Time to event analysis of arthroplasty registry data. [Thesis]. University of Adelaide; 2013. Available from: http://hdl.handle.net/2440/82454

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Adelaide

9. Newbury, Wendy Lynne. Exploring the currency of spirometric predictive equations from the viewpoint of the lung age concept.

Degree: 2013, University of Adelaide

URL: http://hdl.handle.net/2440/83639

► Spirometry is used to diagnose respiratory disease, to monitor disease progression and response to treatment, and in epidemiological surveys. As a large burden of disease… (more)

▼ Spirometry is used to diagnose respiratory disease, to monitor disease progression and response to treatment, and in epidemiological surveys. As a large burden of disease is caused by cigarette smoking, spirometry has been incorporated in smoking cessation counselling in an attempt to improve quit rates. The concept of lung age (LA) was developed in 1985 in an effort to make spirometry results more easily understood by the lay person. Research results using LA to aid quitting remain inconclusive. This thesis investigates the need to update LA equations, as predictive equations based on old data may not be relevant for today’s populations, and contemporary equations may result in a stronger message for smokers. New LA equations were firstly developed using contemporary Australian data and four further LA equations were derived from previously published FEV₁ predictive equations. A series of comparisons of LA equations in contemporary Australian datasets followed. The first project compared the original Morris LA equations with newly developed Australian LA equations in an independent workplace dataset (males only). The second project compared four extra LA equations derived from previously published FEV₁ equations from Europe, the United Kingdom, America and Australia with the Morris and the new Australian equations. An independent dataset of randomly-selected males and females was used to compare these equations with the Morris LA equations and contemporary Australian LA equations. Lastly, a different type of LA equation expressed as delta lung age (ΔLA), the difference between chronological age and lung age, based on the ratio of Forced Expiratory Volume in one second/Forced Vital Capacity (FEV₁/FVC), was compared with three other LA equations based on FEV₁ alone. This project used three independent datasets (urban, rural and a workplace) for added strength. All LA equations confirmed poorer lung function in smokers than in never smokers in all 3 independent datasets. LA estimates were approximately 20 years lower using the original Morris equations when compared with the newest LA equations. The differences seen between estimated LA using all six equations were consistent in each analysis. The ΔLA equation gave extreme LA estimates in both the community-based datasets compared with the LA equations based on FEV₁ alone. These results show that the Morris LA equations need to be updated. However, there appears to be no advantage in using the ΔLA equation. The differences between the older and the newer LA equations are most likely a result of cohort and period effects. This is also the case in the predictive equations themselves. Continuously updating predictive equations using recently acquired data will result in LA equations that are more relevant to contemporary populations. Advisors/Committee Members: Crockett, Alan Joseph (advisor), Ruffin, Richard Ernest (advisor), School of Population Health (school).

Subjects/Keywords: spirometry; lung age; predictive equations; smoking cessation; COPD; lung function

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Newbury, W. L. (2013). Exploring the currency of spirometric predictive equations from the viewpoint of the lung age concept. (Thesis). University of Adelaide. Retrieved from http://hdl.handle.net/2440/83639

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Newbury, Wendy Lynne. “Exploring the currency of spirometric predictive equations from the viewpoint of the lung age concept.” 2013. Thesis, University of Adelaide. Accessed January 19, 2021. http://hdl.handle.net/2440/83639.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Newbury, Wendy Lynne. “Exploring the currency of spirometric predictive equations from the viewpoint of the lung age concept.” 2013. Web. 19 Jan 2021.

Vancouver:

Newbury WL. Exploring the currency of spirometric predictive equations from the viewpoint of the lung age concept. [Internet] [Thesis]. University of Adelaide; 2013. [cited 2021 Jan 19]. Available from: http://hdl.handle.net/2440/83639.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Newbury WL. Exploring the currency of spirometric predictive equations from the viewpoint of the lung age concept. [Thesis]. University of Adelaide; 2013. Available from: http://hdl.handle.net/2440/83639

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Adelaide

10. Beckmann, Kerrilyn Rose. Quantifying breast cancer over-diagnosis in an organised mammography screening program.

Degree: 2014, University of Adelaide

URL: http://hdl.handle.net/2440/91778

► Mammography screening is effective in reducing breast cancer (BC) mortality; however there are widespread concerns that it may also lead to over-diagnosis, i.e. the detection… (more)

▼ Mammography screening is effective in reducing breast cancer (BC) mortality; however there are widespread concerns that it may also lead to over-diagnosis, i.e. the detection of BC that would not have emerged clinically in a woman’s lifetime had she not participated in screening. The extent of over-diagnosis due to mammography is contested, with published estimates varying from 0% to 54%. The principal aim of this research is to quantify the level of over-diagnosis of BC associated with population-based mammography screening in South Australia (SA). The following questions are addressed: (1) Have BC incidence rates increased following the introduction of screening in SA and is the increase greater than expected based on projections of pre-screening trends?, (2) Has the prevalence of key breast cancer risk factors also increased?, (3) To what extent does hormone replacement therapy (HRT) use affect breast cancer risk and screening outcomes?, (4) Are there any differences in the underlying risk of BC among screening participants and non-participants?, and the central question (5) What is the level of over-diagnosis due to organised mammography screening in SA? Questions 2-4 relate to the potential for estimates of over-diagnosis to be confounded by risk factor differences/temporal changes. A review of previous studies of over-diagnosis due to mammography screening is included, which highlights methodological complexities relating to measurement of over-diagnosis and offers some explanations for why published estimates vary to such a great extent. The first two questions were answered through descriptive analyses of BC incidence trends in SA from 1977-2009, as well as trends in the prevalence several key breast cancer risk factors collected via the SA Health Omnibus Surveys during 1991-2009 (alcohol use, body weight, HRT use) and Australian Bureau of Statistics (fertility rates and age at first birth). The effect of HRT on various screening outcomes (e.g. screen-detection rates, interval cancer rates, recall to assessment) was examined though multivariable Poisson regression modelling using individual person level data from BreastScreen SA, which included self-reported HRT use at the time of each screening episode. Differences in underlying risk of BC between screening participants and non- participants were investigated using 2012 South Australian Health Omnibus Survey data. Two different methods were used to quantify over-diagnosis. Method 1 used a case-control design to compare screening histories for women with and without BC. Odds ratios (OR) were determined across different time intervals after screening to allow for lead time effects and applied to background reference rates based on pre-screening incidence trends. Over-diagnosis estimates were obtained by comparing cumulative incidence with and without screening. Method 2 used a lead time modelling approach in which estimates of lead time duration and screening sensitivity, and screening participation data were used to adjust the background incidence rates… Advisors/Committee Members: Roder, David Murray (advisor), Hiller, Janet Esther (advisor), Lynch, John (advisor), School of Population Health (school).

Subjects/Keywords: breast cancer; mammography screening; over-diagnosis

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Beckmann, K. R. (2014). Quantifying breast cancer over-diagnosis in an organised mammography screening program. (Thesis). University of Adelaide. Retrieved from http://hdl.handle.net/2440/91778

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Beckmann, Kerrilyn Rose. “Quantifying breast cancer over-diagnosis in an organised mammography screening program.” 2014. Thesis, University of Adelaide. Accessed January 19, 2021. http://hdl.handle.net/2440/91778.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Beckmann, Kerrilyn Rose. “Quantifying breast cancer over-diagnosis in an organised mammography screening program.” 2014. Web. 19 Jan 2021.

Vancouver:

Beckmann KR. Quantifying breast cancer over-diagnosis in an organised mammography screening program. [Internet] [Thesis]. University of Adelaide; 2014. [cited 2021 Jan 19]. Available from: http://hdl.handle.net/2440/91778.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Beckmann KR. Quantifying breast cancer over-diagnosis in an organised mammography screening program. [Thesis]. University of Adelaide; 2014. Available from: http://hdl.handle.net/2440/91778

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Adelaide

11. McDonald, Fiona Clarke. An examination of the smoking cessation management, and use of NRT in patients recovering from a recent symptomatic episode of coronary heart disease: a multi-method approach.

Degree: 2014, University of Adelaide

URL: http://hdl.handle.net/2440/93496

► Background: Smoking related coronary heart disease (CHD) is one of the greatest contributors to the occurrence of both primary and secondary cardiac events, and the… (more)

▼ Background: Smoking related coronary heart disease (CHD) is one of the greatest contributors to the occurrence of both primary and secondary cardiac events, and the subsequent premature death and disability of many Australians. Therefore, smoking cessation is an obvious way to reduce the risk of a repeat CHD event following an initial episode. Current evidence suggests that nicotine replacement therapy (NRT) can increase the odds of achieving cessation of smoking by as much as 50% when compared to placebo. However, despite the evidence which supports its effectiveness, NRT appears to be avoided and underutilised in the management of smokers recovering from a symptomatic episode of CHD. The literature indicates that much of this avoidance appears to be based upon unsubstantiated theory and concern regarding the safety and efficacy of NRT in this population. The three studies presented within this thesis were not designed to provide a definitive answer as to whether or not NRT is a safe and effective cessation of smoking treatment in those with symptomatic CHD but rather to examine the views, opinions and practice of healthcare professionals in both the inpatient and primary practice settings, along with the perspectives of patients admitted to hospital due to a symptomatic episode of CHD. It was hoped that this approach would help identify and explore the factors which contribute to, and direct the current practice, opinions and beliefs of both healthcare professionals and patients regarding the smoking cessation management and use of NRT in this population of smokers. For secondary prevention strategies such as smoking cessation to be successful in helping to curb the incidence of coronary events, current cessation management and interventions such as NRT need to be explored thoroughly. Method: A mixed method approach using both qualitative and quantitative methods provided the analytical foundations on which these studies were based. Both purposive and convenience samples of healthcare professionals practicing within the acute cardiac care inpatient setting, and the primary care setting, along with smokers admitted to the inpatient cardiac care environment were all utilised to inform the study. Results: From a patient perspective, admission to the cardiac inpatient environment appears to promote a self-assessment of current modifiable behaviours, which in turn can initiate a quit attempt and promote a patient’s willingness to be more receptive to cessation interventions and treatments such as NRT, and possibly increase the odds of achieving long-term cessation. However, several factors were identified which appear to influence a patients acceptance and adherence to interventions. Factors such as accessibility, knowledge, cost, family and environmental influences, and safety all have an influence on their odds of achieving success. Furthermore, from a clinical perspective, although healthcare professionals recognise the potential benefits of NRT, in most circumstances they are reluctant to use it due to safety… Advisors/Committee Members: Stocks, Nigel Phillip (advisor), Jamrozik, Konrad (advisor), Barton, Christopher Allan (advisor), School of Population Health (school).

Subjects/Keywords: smoking cessation; nicotine replacement therapy; coronary heart disease

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

McDonald, F. C. (2014). An examination of the smoking cessation management, and use of NRT in patients recovering from a recent symptomatic episode of coronary heart disease: a multi-method approach. (Thesis). University of Adelaide. Retrieved from http://hdl.handle.net/2440/93496

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

McDonald, Fiona Clarke. “An examination of the smoking cessation management, and use of NRT in patients recovering from a recent symptomatic episode of coronary heart disease: a multi-method approach.” 2014. Thesis, University of Adelaide. Accessed January 19, 2021. http://hdl.handle.net/2440/93496.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Vancouver:

McDonald FC. An examination of the smoking cessation management, and use of NRT in patients recovering from a recent symptomatic episode of coronary heart disease: a multi-method approach. [Internet] [Thesis]. University of Adelaide; 2014. [cited 2021 Jan 19]. Available from: http://hdl.handle.net/2440/93496.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

McDonald FC. An examination of the smoking cessation management, and use of NRT in patients recovering from a recent symptomatic episode of coronary heart disease: a multi-method approach. [Thesis]. University of Adelaide; 2014. Available from: http://hdl.handle.net/2440/93496

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Adelaide

12. Howell, Cate Adele. Study of a primary care depression relapse prevention program: "keeping the blues away".

Degree: 2010, University of Adelaide

URL: http://hdl.handle.net/2440/63324

► Depression is a serious and often relapsing problem, and the primary care relapse rate is reported to be 37-44.5%. The majority of patients with depression… (more)

▼ Depression is a serious and often relapsing problem, and the primary care relapse rate is reported to be 37-44.5%. The majority of patients with depression will present to their general practitioner (GP), who will often continue to play a central management role. It is therefore important that GPs are able to access to effective long-term management programs aiming to prevent relapse. However, practical well-researched models for delivering long-term care in the primary care setting are limited. The desire to develop an evidence-based depression relapse prevention program (RPP) stemmed from caring for individuals with depression in primary care settings. A scholarship provided the opportunity to go overseas in the year 2000 to investigate the management of depression, and to speak with a number of leaders in the primary care mental health field. There was consensus that depression relapse was an important area to research. This combination of thesis and publications is the summation of eight years of work, related to the conceptualisation, development, and study of a primary care depression RPP called ‘Keeping the Blues Away’ (KBA). The overall aim of this research was to develop and implement a primary care depression RPP and to evaluate its acceptability and effectiveness. An action research approach involving enquiry, intervention and evaluation was adopted, and the research involved a number of phases, based on a framework by Campbell and Fitzpatrick (2000). The phases included pre-clinical and modeling (or development) phases carried out in 2001-2 (literature review, development of the KBA program and resources); an exploratory phase carried out in 2003 to assess the feasibility of studying the program in the general practice setting; and finally the intervention phase involving a randomised controlled trial (RCT). Ethics approval for this research was gained from the University of Adelaide Human Ethics Committee in 2001. The RCT was carried out in 2003-5. However, as insufficient numbers of participants were recruited to the intervention phase, the RCT is viewed as a large pilot study. The initial literature review highlighted a paucity of literature relating to primary care and relapse prevention. One American study of a primary care RPP by Katon in 2001 was identified, and as the intervention in this study did not result in a significant reduction in relapse rates, it was concluded that a more intensive RPP might be needed. In designing KBA, the researcher also drew on the recommendations of Segal (2003), who suggested that it might be possible to take ingredients of proven treatments and design novel preventive treatment. Subsequent literature reviews identified limited additional work on primary care depression RPPs in the Netherlands, including a thesis on a RCT of a RPP which did not produce significant results and an economic evaluation of the RPP. KBA is a unique and multifaceted program aiming to reduce the severity of depression and prevent relapse, and drawing on a number of evidence-based… Advisors/Committee Members: Beilby, Justin John (advisor), Turnbull, Deborah Anne (advisor), School of Population Health and Clinical Practice (school).

Subjects/Keywords: depression; relapse; primary care

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Howell, C. A. (2010). Study of a primary care depression relapse prevention program: "keeping the blues away". (Thesis). University of Adelaide. Retrieved from http://hdl.handle.net/2440/63324

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Howell, Cate Adele. “Study of a primary care depression relapse prevention program: "keeping the blues away".” 2010. Thesis, University of Adelaide. Accessed January 19, 2021. http://hdl.handle.net/2440/63324.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Howell, Cate Adele. “Study of a primary care depression relapse prevention program: "keeping the blues away".” 2010. Web. 19 Jan 2021.

Vancouver:

Howell CA. Study of a primary care depression relapse prevention program: "keeping the blues away". [Internet] [Thesis]. University of Adelaide; 2010. [cited 2021 Jan 19]. Available from: http://hdl.handle.net/2440/63324.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Howell CA. Study of a primary care depression relapse prevention program: "keeping the blues away". [Thesis]. University of Adelaide; 2010. Available from: http://hdl.handle.net/2440/63324

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Adelaide

13. Stanhope, Jessica Louise. The preventable burden of musculoskeletal conditions in Australian musicians.

Degree: 2019, University of Adelaide

URL: http://hdl.handle.net/2440/123109

► Background: The prevalence of musculoskeletal symptoms (MSSs) among musicians is reportedly high, and may have a profound impact upon those affected. Most studies have been… (more)

▼ Background: The prevalence of musculoskeletal symptoms (MSSs) among musicians is reportedly high, and may have a profound impact upon those affected. Most studies have been conducted on university classical music students and professional orchestral musicians, leaving other sub-groups, such as military band musicians and opera singers, under-investigated. Even for these most commonly researched groups, there have been relatively few studies investigating the impact of MSSs, or their preventability in terms of psychosocial and organisational factors potentially associated with MSS outcomes. The central research question in this thesis was: “is there a preventable burden of musculoskeletal conditions among Australian university music students and professional musicians?”. Methods: Data were obtained from two sources: the National Data Set for Compensation-based Statistics, and a targeted questionnaire survey developed specifically for this project. Questionnaire development was informed by a systematic search and narrative review of the types of outcomes and data collection tools used to assess musicians’ MSS outcomes. The questionnaire was distributed to university music students and professional musicians, as well as a reference group of university science students and non-music university staff. The utility of the questionnaire measures was examined using Rasch analysis. Data were analysed using standard statistical methods. Results: Musculoskeletal disorders accounted for the majority of workers’ compensation claims (WCCs) made by musicians (70%), and the majority of costs (78%). Of the musicians surveyed, 90% reported MSSs in the last 12 months, and 57% reported experiencing MSSs in the last 12 months that impaired musical activities. Musculoskeletal symptoms were most common in the upper limb and spinal regions. There was no significant difference in MSS prevalence overall between musicians and the reference groups, however music students reported a higher prevalence of wrist/hand MSSs specifically. Symptomatic music students also reported higher ratings of the emotional impact of MSSs than did science students. A higher proportion of symptomatic female professional musicians reported moderate-severe pain than their university staff counterparts. The majority (82%) of musculoskeletal WCCs made by musicians were attributed to body stressing. All symptomatic musicians surveyed provided at least one perceived cause (of up to three reported) of their MSSs that was likely modifiable or preventable. The most commonly reported such perceived causes were behavioural factors (94%). Psychological distress was identified as the most important modifiable personal factor to address, as it was associated with most MSS outcomes. The evidence for other factors was less consistent, however social support, musical activity time, sitting time, and perceived work effort were associated with specific MSS outcomes. Conclusion: Evidence from this research indicates that there is a preventable burden of musicians’ musculoskeletal… Advisors/Committee Members: Pisaniello, Dino (advisor), Weinstein, Philip (advisor), School of Population Health : Public Health (school).

Subjects/Keywords: musicians; musculoskeletal; pain; prevalence

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Stanhope, J. L. (2019). The preventable burden of musculoskeletal conditions in Australian musicians. (Thesis). University of Adelaide. Retrieved from http://hdl.handle.net/2440/123109

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Stanhope, Jessica Louise. “The preventable burden of musculoskeletal conditions in Australian musicians.” 2019. Thesis, University of Adelaide. Accessed January 19, 2021. http://hdl.handle.net/2440/123109.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Stanhope, Jessica Louise. “The preventable burden of musculoskeletal conditions in Australian musicians.” 2019. Web. 19 Jan 2021.

Vancouver:

Stanhope JL. The preventable burden of musculoskeletal conditions in Australian musicians. [Internet] [Thesis]. University of Adelaide; 2019. [cited 2021 Jan 19]. Available from: http://hdl.handle.net/2440/123109.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Stanhope JL. The preventable burden of musculoskeletal conditions in Australian musicians. [Thesis]. University of Adelaide; 2019. Available from: http://hdl.handle.net/2440/123109

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Adelaide

14. Borgkvist, Ashlee Rae. All in a day’s work: A qualitative analysis of fathers’ uptake of flexible working arrangements, workplace culture, and masculine identity.

Degree: 2020, University of Adelaide

URL: http://hdl.handle.net/2440/123512

► Australian men’s use of flexible working arrangements, including parental leave, is low when compared with women in Australia and also when compared with men in… (more)

▼ Australian men’s use of flexible working arrangements, including parental leave, is low when compared with women in Australia and also when compared with men in other countries. This impedes their ability to be involved in parenting activities. This thesis will explore why Australian men’s use of flexible working arrangements remains low. Workplace flexibility has been an important way to balance work and life. Access to and organisational support for use of flexibility has been suggested to affect employee health and well-being, reduce employee turnover, and affect organisational commitment (Dorio, Bryant, & Allen, 2008; Pocock, 2005a; Williams, 2000). A wealth of literature suggests that organisational factors are influential in men’s decision making in relation to the use or non-use of flexible working arrangements. This includes managerial support for use of flexibility, perceptions of entitlement to flexibility, and factors such as organisational culture, which sets out norms and organisational expectations for good organisational citizens (Wayne & Cordeiro, 2003). Included in these expectations is the ideal worker norm. Further, gendered expectations regarding who should work and who should provide care within families persist (Deutsch, 2007). Particularly in Australia, masculine identity aa well as fathering identity is tied up in being a financial provider, and these gendered expectations, (re)produced socially and culturally, affect the roles men see as appropriate for them to inhabit (Baxter & Hewitt, 2013). A social constructionist perspective was employed in this research. This framework suggests that meaning is created subjectively, and is (re)produced through social practices, action and interaction with others (Crotty, 1998). Within this framework, the present research was guided by several theoretical perspectives related to gender and organisations: gendered organisational theory, the ideal worker norm, masculinity theory, and feminist theory. These theories complement each other and take a critical approach to the taken-for-granted, which is pertinent when attempting to investigate, challenge, and deconstruct gender and the structures which (re)produce and maintain it. Semi-structured interviews with fathers and with workplace managers were utilised to collect data. Both thematic analysis and discourse analysis were applied when interpreting and analysing the data. Findings of this research point to the persistence of gendered norms and expectations in relation to parenting and work, and that these continue to have an impact upon men’s decision making in the organisational context. The persistence of the ideal worker norm and male breadwinner expectations, for example, remain influential in men’s decision making in regard to work and parenting roles, the parenting practices they choose to be involved in, and how they construct fathering. However, the findings also suggest that challenges to and evolution of masculinity are occurring. Specifically, men are beginning to challenge aspects of… Advisors/Committee Members: Crabb, Shona (advisor), Moore, Vivienne (advisor), School of Population Health : Public Health (school).

Subjects/Keywords: flexible working arrangements; masculinity; workplace culture; parenting; qualitative

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Borgkvist, A. R. (2020). All in a day’s work: A qualitative analysis of fathers’ uptake of flexible working arrangements, workplace culture, and masculine identity. (Thesis). University of Adelaide. Retrieved from http://hdl.handle.net/2440/123512

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Borgkvist, Ashlee Rae. “All in a day’s work: A qualitative analysis of fathers’ uptake of flexible working arrangements, workplace culture, and masculine identity.” 2020. Thesis, University of Adelaide. Accessed January 19, 2021. http://hdl.handle.net/2440/123512.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Borgkvist, Ashlee Rae. “All in a day’s work: A qualitative analysis of fathers’ uptake of flexible working arrangements, workplace culture, and masculine identity.” 2020. Web. 19 Jan 2021.

Vancouver:

Borgkvist AR. All in a day’s work: A qualitative analysis of fathers’ uptake of flexible working arrangements, workplace culture, and masculine identity. [Internet] [Thesis]. University of Adelaide; 2020. [cited 2021 Jan 19]. Available from: http://hdl.handle.net/2440/123512.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Borgkvist AR. All in a day’s work: A qualitative analysis of fathers’ uptake of flexible working arrangements, workplace culture, and masculine identity. [Thesis]. University of Adelaide; 2020. Available from: http://hdl.handle.net/2440/123512

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Adelaide

15. Farrell, Lucy Claire. Enacting knowledge, power, and equity: understanding the public appetite for preventive obesity regulations.

Degree: 2018, University of Adelaide

URL: http://hdl.handle.net/2440/115177

► This thesis critically examines public views about the use of preventive obesity regulations in Australia. An extensive body of social science scholarship has demonstrated that… (more)

▼ This thesis critically examines public views about the use of preventive obesity regulations in Australia. An extensive body of social science scholarship has demonstrated that the dominant neoliberal ideology of healthism has engendered anxiety in the public imagination about the obesity epidemic, as well as perpetuating an intensely moral discourse of personal responsibility for obesity. How public support for regulatory interventions is generated in this ideological and emotionally-charged climate has not yet been established. This is important in the context of increasing calls from public health advocates for regulatory interventions to address obesity and attenuate the disproportionate burden on those of lower socio-economic circumstances. As regulations are controversial in the prevailing neoliberal political context, public support is wielded by advocates as valuable political currency. A mixed-methods research program within a critical public health framework was undertaken to examine public views. First, the role of emotions in shaping the discourses that underpin public views were examined through an affective-discursive analysis of comments attached to online news articles about preventive obesity regulations. Focus groups were then conducted to identify how dominant ideological and discursive framings of regulations reflect the experiences of disparate socio-economic groups, which are differentially configured as ‘at risk’ of obesity in public health scholarship. Finally, a representative cross-sectional survey was conducted to ascertain levels of support for specific regulations, and to interrogate socio-demographic variations in views. Extending Wright and Harwood’s (2009) concept of biopedagogy, I argue that in the prevailing neoliberal context obesity is widely read as a morally reprehensible embodiment of ignorance. As such, broad public support for preventive obesity regulations is generated through the capacity of these measures to correct perceived knowledge deficits and to institute moral culpability. My findings demonstrate that public support for regulations is enmeshed with classed and gendered norms that actively (re)produce ignorance as the cause of obesity, by legitimising and privileging certain lifestyles and forms of knowledge. Key to my argument is the ways in which neoliberalism and healthism have created an environment in which ‘the public’ as a collective body are positioned as victims of the obesity epidemic. I show how this collectivisation, in concert with expert public health knowledges which locate the obesity problem in the problematised behaviours of those from low socio-economic conditions, engenders support for interventions which incite people to behave in ways that align with distinctly classed and gendered imperatives around body weight and diet. Through a critical examination of public views, this thesis provides new knowledge about how preventive obesity regulations extend the responsibilisation and moralisation of individuals in… Advisors/Committee Members: Street, Jacqueline Mary (advisor), Moore, Vivienne Marie (advisor), Warin, Megan Jane (advisor), School of Population Health : Public Health (school).

Subjects/Keywords: Research by publication; obesity; policy; regulation; discourse; public opinion; knowledge

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Farrell, L. C. (2018). Enacting knowledge, power, and equity: understanding the public appetite for preventive obesity regulations. (Thesis). University of Adelaide. Retrieved from http://hdl.handle.net/2440/115177

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Farrell, Lucy Claire. “Enacting knowledge, power, and equity: understanding the public appetite for preventive obesity regulations.” 2018. Thesis, University of Adelaide. Accessed January 19, 2021. http://hdl.handle.net/2440/115177.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Farrell, Lucy Claire. “Enacting knowledge, power, and equity: understanding the public appetite for preventive obesity regulations.” 2018. Web. 19 Jan 2021.

Vancouver:

Farrell LC. Enacting knowledge, power, and equity: understanding the public appetite for preventive obesity regulations. [Internet] [Thesis]. University of Adelaide; 2018. [cited 2021 Jan 19]. Available from: http://hdl.handle.net/2440/115177.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Farrell LC. Enacting knowledge, power, and equity: understanding the public appetite for preventive obesity regulations. [Thesis]. University of Adelaide; 2018. Available from: http://hdl.handle.net/2440/115177

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Adelaide

16. King, Rosie. 'What is going to happen to me now?’: systemic uncertainty and complexity between hospital and home for older people, people with disability, carers and service providers.

Degree: 2010, University of Adelaide

URL: http://hdl.handle.net/2440/64112

► The focus of this thesis is on the impact that a hospital admission can have on the continuing ability of Home and Community Care¹ (HACC)… (more)

▼ The focus of this thesis is on the impact that a hospital admission can have on the continuing ability of Home and Community Care¹ (HACC) clients (older people and people with disability) to remain living in their home. Of concern to HACC service providers were their clients' readmissions to hospital and/or unnecessary institutionalisation after hospitalisation. Both events were considered poor outcomes by HACC service providers. The desire to improve these poor outcomes and to alleviate discontinuous care led the HACC program to fund a project in Adelaide, which I undertook as action research. In this thesis I investigated how poor outcomes could be avoided and continuity of care improved in the South Australian hospital and HACC systems. A literature review revealed that population ageing, the demand and resource pressures on acute hospitals and community services and the paucity of discharge planning were factors leading to discontinuity of care of older people and people with disability, as well as impacting on their carers. Theoretical perspectives first look at the divisions between the biomedical and social models of health, as well as the critiques of medical care and the role of bureaucracy put forward by iatrogenesis and medicalisation. Next, the theoretical lens turns to the lives of people, where the centrality of 'care' and interdependence are considered, along with the need to improve our understanding of the nature of vulnerability and the importance of resilience to moving beyond the dominant 'problem-based' discourse of ageing and disability. Processes in the action research included two cyclical phases of making plans, embarking on actions and observing the results of the actions. Methods for collecting data included surveys (n=16 older patients and 10 carers), an evaluation (n=28), face-to-face interviews (n=52), one focus group (n=8), three Reference Groups (n=46), a workshop (n=14) and a nominal group (n=14). The interviews and surveys provided the opportunity to analyse the admission, hospitalisation and discharge issues for HACC clients and their carers from the perspectives of hospital nurses (n=19) and 33 community care providers. The latter participants were clinicians and case managers from domiciliary care² (n=23) and community nurses³ (n=10). These interviews were analysed thematically. Results from the action research project yielded valuable research insights and successful actions which were reflexively planned, implemented and evaluated. The actions increased local linkages between the hospital and community service providers, collaboration, communication and access to information about the HACC program. Despite this, the action research project appeared to have little or no direct effect on avoiding poor outcomes or improving discontinuity of care. Such effects were more complex and beyond the scope of a project of this size. Achieving the necessary systems and structural changes to address these problems would have required more time, resources, capacity and leadership to be… Advisors/Committee Members: Moss, John Robert (advisor), Hamilton-Bruce, Monica Anne (advisor), School of Population Health and Clinical Practice (school).

Subjects/Keywords: continuity of care; hospital admission and home and community care program clients; older people and people with disability and carers; health and community care system; poor outcomes after hospital admission; vulnerability and resilience; theoretical analysis; policy implications and action research

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

King, R. (2010). 'What is going to happen to me now?’: systemic uncertainty and complexity between hospital and home for older people, people with disability, carers and service providers. (Thesis). University of Adelaide. Retrieved from http://hdl.handle.net/2440/64112

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

King, Rosie. “'What is going to happen to me now?’: systemic uncertainty and complexity between hospital and home for older people, people with disability, carers and service providers.” 2010. Thesis, University of Adelaide. Accessed January 19, 2021. http://hdl.handle.net/2440/64112.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Vancouver:

King R. 'What is going to happen to me now?’: systemic uncertainty and complexity between hospital and home for older people, people with disability, carers and service providers. [Internet] [Thesis]. University of Adelaide; 2010. [cited 2021 Jan 19]. Available from: http://hdl.handle.net/2440/64112.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

King R. 'What is going to happen to me now?’: systemic uncertainty and complexity between hospital and home for older people, people with disability, carers and service providers. [Thesis]. University of Adelaide; 2010. Available from: http://hdl.handle.net/2440/64112

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Adelaide

17. Steele, Emily J. The impact of precarious employment in early adulthood on age at first childbirth: development of theoretical, methodological and analytical frameworks from a life course perspective.

Degree: 2010, University of Adelaide

URL: http://hdl.handle.net/2440/64193

► The average age of Australian women at first childbirth in 2006 was 28.2 years, while the proportion of first births among women aged ≥ 35… (more)

▼ The average age of Australian women at first childbirth in 2006 was 28.2 years, while the proportion of first births among women aged ≥ 35 years increased from 8% in 1997 to 14% in 2006. From a public health perspective, this shift has a raft of health consequences for women and children, including increased risks of miscarriage, gestational diabetes, and birth defects in the child. Furthermore, the use of assisted reproductive technologies associated with older childbearing carries risks in pregnancy, and adverse outcomes in offspring, in addition to very significant financial and emotional costs. Thus, it is imperative to understand barriers to childbearing at ‘optimal’ ages. Since evidence also suggests women now have fewer children than they would like, it is particularly important to investigate underlying structural determinants of older motherhood and foreshortened reproductive careers. Precarious employment conditions, related to trends in international labour markets, may play an important role in older age of first-time motherhood (as suggested in contemporary fertility theories). However there is a paucity of Australian research about this issue. A post-positivist approach was used to design a theory incorporating multiple disciplinary perspectives. The theory sought to explain the influence of macro-economic factors on individual lives, and was cognisant of the life course dimension. The ensuing conceptual framework and research questions guided the design of a retrospective cross-sectional study based on a birth cohort (n ~ 1000, born 1973-75) which was established when women were aged ~ 30 years. A detailed event history instrument was developed to obtain data regarding a range of life domains including pregnancy, partnering, education, and employment (sometimes as detailed as monthly intervals). Time-varying and time-constant survival analysis techniques were applied within a life course framework to examine the effects of precarious employment on age at first childbirth (taking into account educational attainment and other influential factors), with a sub-set of the study cohort (n=230). This project is innovative at a number of levels. For the first time within the public health domain, an argument is presented for the relevance and significance of the contemporary social issue of older age at first childbirth. From an epidemiological perspective, the project offers advances in a number of areas, including theory-building (particularly in the convergence of life course and hierarchical perspectives) and engagement with a relatively new exposure variable (precarious employment). The project contributes substantially to the sub-discipline of life course epidemiology, in the following ways: (1) collection of fine-grained life course data (event history data as opposed to cross-sectional or successive point-in-time measures); (2) improvement of techniques to collect high quality retrospective data (type of survey instruments and fieldwork procedures); and (3) presentation of a framework for the use of… Advisors/Committee Members: Moore, Vivienne Marie (advisor), Davies, Michael John (advisor), Ryan, Philip (advisor), School of Population Health and Clinical Practice (school).

Subjects/Keywords: epidemiology; life course; precarious employment; childbearing; fertility

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Steele, E. J. (2010). The impact of precarious employment in early adulthood on age at first childbirth: development of theoretical, methodological and analytical frameworks from a life course perspective. (Thesis). University of Adelaide. Retrieved from http://hdl.handle.net/2440/64193

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Steele, Emily J. “The impact of precarious employment in early adulthood on age at first childbirth: development of theoretical, methodological and analytical frameworks from a life course perspective.” 2010. Thesis, University of Adelaide. Accessed January 19, 2021. http://hdl.handle.net/2440/64193.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Vancouver:

Steele EJ. The impact of precarious employment in early adulthood on age at first childbirth: development of theoretical, methodological and analytical frameworks from a life course perspective. [Internet] [Thesis]. University of Adelaide; 2010. [cited 2021 Jan 19]. Available from: http://hdl.handle.net/2440/64193.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Steele EJ. The impact of precarious employment in early adulthood on age at first childbirth: development of theoretical, methodological and analytical frameworks from a life course perspective. [Thesis]. University of Adelaide; 2010. Available from: http://hdl.handle.net/2440/64193

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Adelaide

18. Hansen, Alana L. Risk assessment for environmental health in Adelaide based on weather, air pollution and population health outcomes.

Degree: 2010, University of Adelaide

URL: http://hdl.handle.net/2440/64582

► Background: The progression of climate change may have wide ranging and varied implications for population health. Climatologists predict increases in heatwaves, droughts and bushfires for… (more)

▼ Background: The progression of climate change may have wide ranging and varied implications for population health. Climatologists predict increases in heatwaves, droughts and bushfires for Australia, with health consequences including a potential rise in heatrelated illnesses and adverse effects from increases in some air pollutants. Epidemiological evidence of the impact of temperature extremes and air pollution on morbidity and mortality at the local level is essential to identify site specific characteristics of vulnerable sub-populations and in projections of future scenarios. This study aimed to assess the impact of weather and air pollution on population health outcomes in Adelaide, and to inform decision makers on likely health impacts of climate change. Method: Health outcome, meteorological and air quality data for periods of up to 12 years were used to assess the environmental health impact of heatwaves and air pollution on morbidity in Adelaide. The first part of the study investigated the impact of heatwaves, defined as being three or more consecutive days of maximum temperatures 35°C or above, on hospital admissions, ambulance callouts and emergency department visits using a case series approach. Spatial analytical techniques were used to identify regions at increased risk in the metropolitan area. The second part of the study investigated, using case-crossover analysis, the effect of air pollution on cardiovascular and respiratory health outcomes. Finally, an evidence based environmental health risk assessment for Adelaide was formulated using a climate change perspective. Results: Heatwaves have a noticeable effect on population health in Adelaide. Findings showed ambulance callouts increased by 3.6% during heatwaves in Adelaide, with some industrial and disadvantaged suburbs identified as heat-sensitive regions of the metropolitan area. Persons with mental and behavioural disorders were found to be susceptible to heat extremes with hospitalisations increasing by 7.3% during heatwaves compared to non-heatwave periods. Hospital admissions for renal disease and acute renal failure were increased by 10.0% and 25.5% respectively during heatwaves and heat-related presentations at emergency departments increased almost 3-fold compared to non-heatwave periods in the warm season. Despite Adelaide’s air quality comparing well with cities elsewhere, airborne particulate matter had a noticeable effect on health, more so in the cool season, with a 4.5% increase in cardiovascular hospitalisations associated with an increase of 10 μg/m³ in fine particles. Conclusion: Mounting evidence points towards a continued rise in global temperatures and more intense and frequent heatwaves. Findings from this study suggest that in the absence of adaptation and acclimatisation of the local population, there may be a disproportionate increase in heatwave-related morbidity; however the effect on air pollution-related morbidity is less clear. In a warming climate the adverse cardiovascular health effects of air… Advisors/Committee Members: Bi, Peng (advisor), Pisaniello, Dino Luigi (advisor), Ryan, Philip (advisor), Nitschke, Monika (advisor), School of Population Health and Clinical Practice (school).

Subjects/Keywords: environmental health; climate change; weather; heat; air pollution

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Hansen, A. L. (2010). Risk assessment for environmental health in Adelaide based on weather, air pollution and population health outcomes. (Thesis). University of Adelaide. Retrieved from http://hdl.handle.net/2440/64582

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Hansen, Alana L. “Risk assessment for environmental health in Adelaide based on weather, air pollution and population health outcomes.” 2010. Thesis, University of Adelaide. Accessed January 19, 2021. http://hdl.handle.net/2440/64582.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Hansen, Alana L. “Risk assessment for environmental health in Adelaide based on weather, air pollution and population health outcomes.” 2010. Web. 19 Jan 2021.

Vancouver:

Hansen AL. Risk assessment for environmental health in Adelaide based on weather, air pollution and population health outcomes. [Internet] [Thesis]. University of Adelaide; 2010. [cited 2021 Jan 19]. Available from: http://hdl.handle.net/2440/64582.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Hansen AL. Risk assessment for environmental health in Adelaide based on weather, air pollution and population health outcomes. [Thesis]. University of Adelaide; 2010. Available from: http://hdl.handle.net/2440/64582

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Adelaide

19. Van Hooff, Miranda. The impact of childhood exposure to a natural disaster on adult mental health: a 20-year longitudinal follow-up study of children exposed to a major Australian bushfire.

Degree: 2010, University of Adelaide

URL: http://hdl.handle.net/2440/64724

► Background: On February 16 1983, several large-scale bushfires devastated substantial parts of Australia. In the following two-years, McFarlane and colleagues examined the long-term psychological consequences… (more)

▼ Background: On February 16 1983, several large-scale bushfires devastated substantial parts of Australia. In the following two-years, McFarlane and colleagues examined the long-term psychological consequences of exposure to this bushfire in children. Eight hundred and six children attending school in an easily demarcated region of South Australia that was vastly devastated by the fires and 725 unexposed children were assessed. This thesis reports on the 20-year longitudinal mental health trajectories of this cohort of children. This study is the first to follow-up a large sample of childhood disaster survivors using a control sample recruited as children at the time of the original study Sample: Nine-hundred and eleven participants (540 (67%) bushfire survivors, and 471 (65%) controls) completed the follow-up assessment. The mean age of the bushfire sample at the time of the disaster was 8.44 years (3.23 to 13.49 years) and at follow-up was 28.64 years (23 to 34 years). The mean age of the control sample at the time of the disaster was 7.39 years (1.67 to 13.11 years) and at follow-up was 27.66 years (22 to 33 years). Method: Participants completed a 1-hour telephone interview examining lifetime and 1-month prevalence of DSM-IV disorder using the Composite International Diagnostic Interview (CIDI) as well as a self-report booklet. Results: Bushfire survivors were at a slightly increased risk of developing a current DSM-IV disorder (in particular a current DSM-IV anxiety disorder), as well as a lifetime DSM-IV anxiety disorder compared to the controls. Seventy-five percent of the bushfire group still reported some degree of bushfire-related distress in the form of intrusion symptoms 20 years on, however the lifetime prevalence of bushfire-related PTSD was considerably lower than rates following other childhood disasters. Only 6 (1.7%) of the bushfire survivors met lifetime DSM-IV PTSD criteria in response to the bushfire, compared to 27 (5.8%) of the control population who met PTSD in relation to their worst lifetime event. Risk factor models for the development of lifetime depressive and anxiety disorders (including bushfire-related PTSD and worst-event PTSD) were examined, with special consideration given to the relative contribution of characteristics of the disaster, child, and the post-disaster environment as well as additional lifetime trauma to the development of DSMIV psychopathology over time. The methodological limitations of current PTSD diagnostic criteria and assessment measures, as well as the implications of their use in longitudinal disaster research are comprehensively discussed. Conclusion: The present study, while acknowledging the detrimental impact of childhood disaster exposure on the development of long-term anxiety spectrum disorders, raises some important questions regarding the methodologies employed by previous longitudinal disaster studies. The main challenge facing researchers is to begin to prioritise the disaster in the context of the other lifetime trauma so as not to overemphasise the… Advisors/Committee Members: McFarlane, Alexander Cowell (advisor), Barton, Christopher Allan (advisor), Braunack-Mayer, Annette Joy (advisor), School of Population Health and Clinical Practice (school).

Subjects/Keywords: disaster; longitudinal; mental health; PTSD; depression; anxiety; trauma; childhood

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Van Hooff, M. (2010). The impact of childhood exposure to a natural disaster on adult mental health: a 20-year longitudinal follow-up study of children exposed to a major Australian bushfire. (Thesis). University of Adelaide. Retrieved from http://hdl.handle.net/2440/64724

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Van Hooff, Miranda. “The impact of childhood exposure to a natural disaster on adult mental health: a 20-year longitudinal follow-up study of children exposed to a major Australian bushfire.” 2010. Thesis, University of Adelaide. Accessed January 19, 2021. http://hdl.handle.net/2440/64724.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Vancouver:

Van Hooff M. The impact of childhood exposure to a natural disaster on adult mental health: a 20-year longitudinal follow-up study of children exposed to a major Australian bushfire. [Internet] [Thesis]. University of Adelaide; 2010. [cited 2021 Jan 19]. Available from: http://hdl.handle.net/2440/64724.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Van Hooff M. The impact of childhood exposure to a natural disaster on adult mental health: a 20-year longitudinal follow-up study of children exposed to a major Australian bushfire. [Thesis]. University of Adelaide; 2010. Available from: http://hdl.handle.net/2440/64724

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Adelaide

20. Sibly, Julian. Evaluation of a lead exposure reduction intervention for shutdown maintenance contractors at a primary lead smelter.

Degree: 2010, University of Adelaide

URL: http://hdl.handle.net/2440/65208

► Inorganic lead is a hazardous substance, exposure to which has been linked to various adverse health effects including haematological, neurological, renal and reproductive health problems.… (more)

▼ Inorganic lead is a hazardous substance, exposure to which has been linked to various adverse health effects including haematological, neurological, renal and reproductive health problems. These adverse health effects can be correlated with blood lead levels (BLL) and are potentially significant for lead workers, such as production and maintenance personnel at lead smelters. Such workers usually need to wear particle-filtering respirators in order to reduce uptake of airborne lead, and follow strict hygiene protocols. However, there is a paucity of literature on the effectiveness of lead exposure reduction programs for lead smelter workers, especially those engaged as contractors for short periods. The aim of this study was to evaluate an intervention targeted at maintenance and refurbishment contractors engaged during a two-yearly plant shutdown of a primary lead smelter. This evaluation addressed a variety of factors that influence the uptake of lead and gathered information on a rarely-studied group of contractors so as to provide recommendations for improving future occupational health and safety (OHS) interventions in lead industries. Findings from the research may assist in refining conceptual models of OHS interventions addressing complex exposure scenarios. The intervention for the contractors entailed training and the mandatory use of a single brand of half-face disposable particle respirator. Contractors were instructed by the smelter management to undergo a pre-employment blood lead test and attend a health and safety induction, where they were informed of lead hazards and trained in the correct usage of disposable respirators. A post-induction questionnaire was used to elicit information on personal characteristics, smoking status, lead-based hobbies (hobbies that expose contractors to inorganic lead), prior respirator experience and perceptions of the use of disposable respirators. Fixed-position air sampling was conducted to determine the levels of airborne lead-bearing dust generated during maintenance activities and to assess differences between areas, including rest areas. Compliance with respirator usage requirements was assessed by routine observation, and site inspection checklists were used for the assessment of lead contamination. After the two-week shutdown period and prior to departure from the site, contractors underwent a second blood lead test. Other information was gathered prior to, during and after the intervention, through repeated observation and discussions with key stakeholders, and formed the basis of a stakeholder analysis. Full questionnaire and blood lead data were available for 62 male contractors, and of these 81% were previous contractors to the smelter, 87% had previous respirator experience, 78% believed disposable respirators were equal in protection to non-disposable rubber respirators, 87% were confident disposable respirators would keep blood lead down, and 35% reported non-occupational exposure to lead. The arithmetic mean entry BLL was 5.5 μg/dl (std dev=3.9) and the… Advisors/Committee Members: Pisaniello, Dino Luigi (advisor), Mahmood, Afzal Mohammad (advisor), Bi, Peng (advisor), School of Population Health and Clinical Practice (school).

Subjects/Keywords: lead smelter; contractors; respirators

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Sibly, J. (2010). Evaluation of a lead exposure reduction intervention for shutdown maintenance contractors at a primary lead smelter. (Thesis). University of Adelaide. Retrieved from http://hdl.handle.net/2440/65208

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Sibly, Julian. “Evaluation of a lead exposure reduction intervention for shutdown maintenance contractors at a primary lead smelter.” 2010. Thesis, University of Adelaide. Accessed January 19, 2021. http://hdl.handle.net/2440/65208.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Sibly, Julian. “Evaluation of a lead exposure reduction intervention for shutdown maintenance contractors at a primary lead smelter.” 2010. Web. 19 Jan 2021.

Vancouver:

Sibly J. Evaluation of a lead exposure reduction intervention for shutdown maintenance contractors at a primary lead smelter. [Internet] [Thesis]. University of Adelaide; 2010. [cited 2021 Jan 19]. Available from: http://hdl.handle.net/2440/65208.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Sibly J. Evaluation of a lead exposure reduction intervention for shutdown maintenance contractors at a primary lead smelter. [Thesis]. University of Adelaide; 2010. Available from: http://hdl.handle.net/2440/65208

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Adelaide

21. Savic, Michael. Exploring the fit between the perceived mental health needs of resettling refugees and current health service responses.

Degree: 2010, University of Adelaide

URL: http://hdl.handle.net/2440/65479

► Introduction: A small but growing field of research has expanded the focus on trauma and associated interventions historically evident in refugee mental health research. Proponents… (more)

▼ Introduction: A small but growing field of research has expanded the focus on trauma and associated interventions historically evident in refugee mental health research. Proponents emphasise the need to contextualise refugee mental health with respect to resettlement and culture. Furthermore, they argue for a re-assessment of how health services and systems respond. However, health service research has tended to focus on small sections of the health system. Studies have included those concentrating on a singular group of practitioners, a particular service, or on a particular type of service. This narrow scope of investigation may not be useful in informing overall health systems development. Aims: This thesis explores the fit between the perceived mental health needs of resettling refugees and current health service responses from a broad health system perspective. Furthermore, it considers how a better alignment of responses and needs can be facilitated, and how health service and system capacity can be increased. Methods: A qualitative study focussing on health service and system responses to Sudanese refugees in South Australia – a group that has figured prominently in Australian humanitarian intakes over the last decade – was undertaken in order to explore the responsiveness of the health system to the mental health needs of refugees. A qualitative approach was used in order to gather information-rich data from a range of perspectives. In-depth interviews were conducted with a diverse array of key informants. Sudanese community leaders, Sudanese health workers, primary and mental health care practitioners, health service managers and policy makers were among the twenty key informants interviewed. Interviews were analysed using the Framework approach to thematic analysis. Results: This study reiterated the need to address issues relating to the social and cultural context of resettlement. These needs were viewed as most immediate and pressing. However, there was variation in the capacity of services within the health system to respond to such issues. Services with higher degrees of refugee specificity were generally better equipped than those with less specificity. General Practitioners working in private practices were considered to face particular challenges. Several factors were found to influence the capacity of services to provide responses that are holistic, accessible, and of sufficient quality. The structures and philosophies in operation within services and the system, and the level of integration between services and sectors were important among these. Conclusion: This thesis argues that there is a need to build health system capacity to address the needs of resettling refugees holistically. It outlines several health service and system level strategies that could be adopted to do so. In so doing this thesis constitutes a resource that health service managers, policy makers and decision makers can draw on to further service and health system development. Advisors/Committee Members: Mahmood, Mohammad Afzal (advisor), Chur-Hansen, Anna (advisor), Moore, Vivienne Marie (advisor), School of Population Health and Clinical Practice (school).

Subjects/Keywords: refugees; mental health; health services

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APA (6^th Edition):

Savic, M. (2010). Exploring the fit between the perceived mental health needs of resettling refugees and current health service responses. (Thesis). University of Adelaide. Retrieved from http://hdl.handle.net/2440/65479

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Savic, Michael. “Exploring the fit between the perceived mental health needs of resettling refugees and current health service responses.” 2010. Thesis, University of Adelaide. Accessed January 19, 2021. http://hdl.handle.net/2440/65479.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Savic, Michael. “Exploring the fit between the perceived mental health needs of resettling refugees and current health service responses.” 2010. Web. 19 Jan 2021.

Vancouver:

Savic M. Exploring the fit between the perceived mental health needs of resettling refugees and current health service responses. [Internet] [Thesis]. University of Adelaide; 2010. [cited 2021 Jan 19]. Available from: http://hdl.handle.net/2440/65479.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Savic M. Exploring the fit between the perceived mental health needs of resettling refugees and current health service responses. [Thesis]. University of Adelaide; 2010. Available from: http://hdl.handle.net/2440/65479

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Adelaide

22. Miller, Caroline. Graphic health warnings on Australian cigarette packets: evaluation of a social marketing intervention.

Degree: 2011, University of Adelaide

URL: http://hdl.handle.net/2440/71968

► Tobacco-related illness remains the single greatest preventable burden of morbidity and mortality in Australia. Reducing tobacco use is a major public health imperative. This thesis… (more)

▼ Tobacco-related illness remains the single greatest preventable burden of morbidity and mortality in Australia. Reducing tobacco use is a major public health imperative. This thesis investigates the impact of a public policy intervention designed to inform smokers of the harms associated with smoking and to reduce tobacco use; namely graphic consumer warnings labels on cigarette packets, introduced in Australia in March 2006. The specific aim of this thesis is to examine the impact of these warnings. Social psychology provided a theoretical framework, with models predicting that behaviour can be influenced by new information. This thesis poses questions focussed on the relationship between such information, smokers’ beliefs and attitudes, their behavioural intentions and their actual behaviour. The first question examined is practical: What occurred during the introduction and implementation of graphic consumer warnings labels on Australian cigarette packets? This was asked with a view to (i) offering lessons for interested policy-makers in other countries; and (ii) documenting the intervention under study. The second question is: Did the warnings attract the attention of smokers and communicate information about smoking to change smokers’ beliefs? Thirdly: Were there attitude changes or other changes predictive of quitting? and fourthly Did behaviour change occur? Firstly, studies monitored press coverage about the new warnings and the pace of the rollout into shops. Results (presented in Chapter 2) document tobacco industry lobbying and its apparent influence in delaying the introduction of the warnings in Australia. The nature of the Australian legislation created further opportunities for delay. The second question is addressed in Chapters 2 and 3. Chapter 2 reports on a smoker intercept study; conducted once new warnings were prevalent. Chapter 3 presents smokers’ awareness of new warnings and their beliefs about a range of smoking-related health effects, from a series of cross-sectional population surveys spanning 4 years. Chapters 4 and 5 look in detail at the third and fourth research questions i.e. the impact of on smokers’ attitudes, intentions to quit and quitting behaviour. Chapter 4 presents the short-term marker of success - calls to the Quitline. Chapter 5 applies Fishbein & Ajzen’s[1] Reasoned Action Approach with a cohort of smokers; using the model to investigate the influence of graphic warnings on smokers’ quitting behaviour and its precursors. Taken as a whole, this thesis provides a case study of the roll-out of Australian graphic cigarette packet warning labels and evidence of their impact on smokers. Australia was the 8th country to introduce such warnings. A further 31 countries have since adopted them with many more planning to. Very little is published about the process of implementation and this information from the Australian roll-out offers insight for other policy-makers. This thesis also contributes very strong evidence that Australia’s graphic warnings labels were successful in… Advisors/Committee Members: Hiller, Janet Esther (advisor), Quester, Pascale Genevieve (advisor), Hill, David (advisor), School of Population Health and Clinical Practice (school).

Subjects/Keywords: tobacco control; social marketing; health warnings

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Miller, C. (2011). Graphic health warnings on Australian cigarette packets: evaluation of a social marketing intervention. (Thesis). University of Adelaide. Retrieved from http://hdl.handle.net/2440/71968

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Miller, Caroline. “Graphic health warnings on Australian cigarette packets: evaluation of a social marketing intervention.” 2011. Thesis, University of Adelaide. Accessed January 19, 2021. http://hdl.handle.net/2440/71968.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Miller, Caroline. “Graphic health warnings on Australian cigarette packets: evaluation of a social marketing intervention.” 2011. Web. 19 Jan 2021.

Vancouver:

Miller C. Graphic health warnings on Australian cigarette packets: evaluation of a social marketing intervention. [Internet] [Thesis]. University of Adelaide; 2011. [cited 2021 Jan 19]. Available from: http://hdl.handle.net/2440/71968.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Miller C. Graphic health warnings on Australian cigarette packets: evaluation of a social marketing intervention. [Thesis]. University of Adelaide; 2011. Available from: http://hdl.handle.net/2440/71968

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Adelaide

23. Mnatzaganian, George. Using linked clinical and hospital morbidity data to assess risk and outcomes of primary lower limb total joint replacement in elderly men.

Degree: 2012, University of Adelaide

URL: http://hdl.handle.net/2440/76225

► Background: Osteoarthritis is the most common musculoskeletal disorder affecting elderly Australians and is a leading cause of lower limb total joint replacement (TJR). The incidence… (more)

▼ Background: Osteoarthritis is the most common musculoskeletal disorder affecting elderly Australians and is a leading cause of lower limb total joint replacement (TJR). The incidence of TJR has risen substantially over the past two decades, reflecting the ageing population, and increases in the prevalence of risk factors such as obesity. Primary TJR is considered to be relatively safe with low rates of adverse outcomes, however, there is increasing evidence that elderly, and male patients who undergo the procedure may be at higher risk for postoperative complications and mortality. The retrospective cohort studies presented in this thesis used data, drawn from Health In Men Study (HIMS), that were linked with Western Australia (WA) linked data system to assess risk and outcomes of primary TJR in a large population-based cohort of men. The studies closely examined three issues - obesity, co-morbidities, and smoking - about which there is continuing debate in regard to their association with the risk of undergoing the procedure, and their roles as determinants of outcome of TJR. These risk factors are particularly important because they are amenable to modification. Objectives: The main objectives of this thesis were: 1. To validate WA hospital morbidity data (HMD) and to assess the performance of HMD-based co-morbidity adjustment methods in predicting mortality among men undergoing elective primary TJR. 2. To assess risk of undergoing elective primary TJR in elderly men. 3. To assess risk of adverse outcomes following elective primary TJR including: • in-hospital complications, • prolonged length of stay in hospital (LOS), • all-cause readmission, and • short- and long-term mortality. 4. To assess the role of obesity in predicting postoperative complications following TJR. Methods: The electronic records of 12,203 men from HIMS were linked with WA HMD, Cancer Registry, Mental Health Services System and mortality records. Linkage with hospital morbidity data was done to identify TJR, in-hospital complications, LOS, and readmission in the target population. Significant morbidity was retrieved from HMD in the period 1970-2007. Multivariable analyses including logistic, Cox proportional hazards, and competing risk regressions were undertaken to assess study outcomes. Main findings: • WA HMD are more likely to identify major co-morbidities and major operations with relatively high sensitivities and positive predictive values than co-morbidities of a less serious nature. • Co-morbidity as recorded in HMD, irrespective of method used to measure it, independently increased risk of adverse outcomes. Model discrimination of 5-year mortality following TJR improved by 13% when HMD-based Deyo-Charlson index (Deyo-CI) was added to the baseline model that only accounted for age (Harrell's C: 0.69 for baseline model vs. 0.78 for model including age and Deyo-CI). • A dose-response relationship between both weight and smoking, and risk of TJR was observed. Being overweight independently increased the risk, while smoking lowered it.… Advisors/Committee Members: Ryan, Philip (advisor), Hiller, Janet Esther (advisor), Jamrozik, Konrad (advisor), School of Population Health and Clinical Practice (school).

Subjects/Keywords: total joint replacement; elderly; male; co-morbidity; obesity; smoking; performance of co-morbidity scores; hospital morbidity data

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Mnatzaganian, G. (2012). Using linked clinical and hospital morbidity data to assess risk and outcomes of primary lower limb total joint replacement in elderly men. (Thesis). University of Adelaide. Retrieved from http://hdl.handle.net/2440/76225

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Mnatzaganian, George. “Using linked clinical and hospital morbidity data to assess risk and outcomes of primary lower limb total joint replacement in elderly men.” 2012. Thesis, University of Adelaide. Accessed January 19, 2021. http://hdl.handle.net/2440/76225.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Mnatzaganian, George. “Using linked clinical and hospital morbidity data to assess risk and outcomes of primary lower limb total joint replacement in elderly men.” 2012. Web. 19 Jan 2021.

Vancouver:

Mnatzaganian G. Using linked clinical and hospital morbidity data to assess risk and outcomes of primary lower limb total joint replacement in elderly men. [Internet] [Thesis]. University of Adelaide; 2012. [cited 2021 Jan 19]. Available from: http://hdl.handle.net/2440/76225.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Mnatzaganian G. Using linked clinical and hospital morbidity data to assess risk and outcomes of primary lower limb total joint replacement in elderly men. [Thesis]. University of Adelaide; 2012. Available from: http://hdl.handle.net/2440/76225

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Adelaide

24. Oprea, Liviu. Health technologies for self-management : an ethical appraisal of the impact of self-management technologies on doctor-patient relationships.

Degree: 2012, University of Adelaide

URL: http://hdl.handle.net/2440/80032

► This thesis contributes to our understanding of the moral dimensions of using self-management technologies in general practice. Through qualitative interviews with general practitioners (GPs) and… (more)

▼ This thesis contributes to our understanding of the moral dimensions of using self-management technologies in general practice. Through qualitative interviews with general practitioners (GPs) and patients with experience in home blood pressure monitoring (HBPM) utilization, it examines the influences of HBPM on the general practitioner-patient relationship, patient responsibility for their health and patient autonomy. The first part of this thesis provides an account of the ethical implications of self-management technologies and their related practices for the doctor-patient relationship (DPR), patients’ responsibility for their health and patient autonomy. This account is contrasted with models of the DPR drawn from the bioethics and clinical literature, and with the conceptions of patient responsibility and patient autonomy that inform these models. Self-management technologies and their related practices have the potential to be more ethically robust than ordinary care. They may be able to influence patients’ health agency by promoting their cognitive and emotional abilities and, through this, change health outcomes for chronically-ill patients. However, there are a number of pertinent ethical issues concerning mutual trust in the DPR, patient responsibility and patient autonomy that need further empirical clarification. Building upon the theoretical material covered in the first part of the thesis, the second half describes an empirical study, which consisted of a series of interviews with GPs (n = 13) and patients (n = 19). HBPM was used as a case study for self-management technologies. The interviews focused on participants’ experiences with HBPM as a means to collect experiential narrative material relevant to answer the research questions. The findings are presented across two domains: the GP-patient relationship and patients’ responsibility for their health. GPs’ and patients’ views of these ethical notions are presented comparatively. Mutual trust in the DPR plays an important role in promoting patients’ motivation to maintain their health, which in turn, underpins all dimensions of patients’ responsibility for their health. In the final part of the thesis, these two themes from the empirical findings are drawn together with the theoretical material. I emphasize the significance of these findings for the bioethics literature concerning the DPR, patient responsibility and patient autonomy and for the conceptual base of self-management technologies. The implications of these conclusions for bioethics, general practice and public health are then considered. Advisors/Committee Members: Braunack-Mayer, Annette Joy (advisor), Rogers, Wendy Anne (advisor), Stocks, Nigel Phillip (advisor), School of Population Health (school).

Subjects/Keywords: self-management technologies; doctor-patient relationship; mutual trust; doctor-patient communication

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Oprea, L. (2012). Health technologies for self-management : an ethical appraisal of the impact of self-management technologies on doctor-patient relationships. (Thesis). University of Adelaide. Retrieved from http://hdl.handle.net/2440/80032

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Oprea, Liviu. “Health technologies for self-management : an ethical appraisal of the impact of self-management technologies on doctor-patient relationships.” 2012. Thesis, University of Adelaide. Accessed January 19, 2021. http://hdl.handle.net/2440/80032.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Oprea, Liviu. “Health technologies for self-management : an ethical appraisal of the impact of self-management technologies on doctor-patient relationships.” 2012. Web. 19 Jan 2021.

Vancouver:

Oprea L. Health technologies for self-management : an ethical appraisal of the impact of self-management technologies on doctor-patient relationships. [Internet] [Thesis]. University of Adelaide; 2012. [cited 2021 Jan 19]. Available from: http://hdl.handle.net/2440/80032.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Oprea L. Health technologies for self-management : an ethical appraisal of the impact of self-management technologies on doctor-patient relationships. [Thesis]. University of Adelaide; 2012. Available from: http://hdl.handle.net/2440/80032

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Adelaide

25. Widayati, Aris. Self medication with antibiotics in Yogyakarta City Indonesia.

Degree: 2013, University of Adelaide

URL: http://hdl.handle.net/2440/83586

► In Indonesia, legislation mandates a medical prescription for purchase of antibiotics. However, people can, in fact, purchase antibiotics without prescription which may be used inappropriately.… (more)

▼ In Indonesia, legislation mandates a medical prescription for purchase of antibiotics. However, people can, in fact, purchase antibiotics without prescription which may be used inappropriately. Therefore, a comprehensive understanding of why people self medicate with antibiotics is essential to develop intervention programs for improving the safe use of antibiotics in the community. The aims of the research were to identify the prevalence and patterns of self medication with antibiotics (SMA) in Yogyakarta City Indonesia; to explore individuals’ knowledge and beliefs about antibiotics; to identify factors that influence individuals’ intentions to SMA; to explore underlying reasons of why individuals self medicate with antibiotics; and to explore stakeholders’ perspectives about how to improve the safe use of antibiotics in the community. The research applied a mixed-method approach and involved adults (over 18 years) of Yogyakarta City, Indonesia. The theory of planned behaviour (TPB) was applied as a conceptual framework to assist in identifying psychological factors associated with SMA at the individual level i.e. attitudes, subjective norms, and perceived behavioural control. The research was initiated by interviews with 25 participants to explore common beliefs about SMA practice among Indonesians. The interviews were informed by the TPB. Results of the interviews were used to structure TPB questions for a population-based survey. The survey had a sample size of 625 adults and applied a cluster random sampling technique. Following the survey, in-depth interviews with a group of the respondents in the survey, who had experience in using antibiotics for self medication, were conducted to explore underlying reasons of SMA practice. The overall results were then discussed with a group of stakeholders in Yogyakarta Province to formulate recommendations on how to improve the safe use of antibiotics in the community. The methods described above were approved by the Human Research Ethics Committee (HREC) at the University of Adelaide and the City Government of Yogyakarta Indonesia. A range of beliefs about SMA practice is highlighted through the interviews includes advantages, disadvantages, approvals, disapprovals, facilitators and barriers of such practice. The survey results in a 90% of response rate and 7.3% period prevalence of SMA. Although information and advice about antibiotics are mainly derived from doctors and pharmacists, the patterns of SMA indicate that antibiotics are used inappropriately. Misconceptions about antibiotic use also exist. Most of the survey respondents are aware of the disadvantages of SMA; and therefore, they are not in favour of practicing SMA. They also reported pressures from their social networks to not practice SMA, and noted that practicing SMA is not easy. However, experience in using antibiotics and the ease of obtaining antibiotics without prescription make the practice of SMA easier. To reduce SMA practice it is required to increase the provision of accurate information about… Advisors/Committee Members: Hiller, Janet Esther (advisor), de Crespigny, Charlotte Francis Champion (advisor), Suryawati, Sri (advisor), School of Population Health (school).

Subjects/Keywords: self medication; non-prescribed antibiotics; Indonesia

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Widayati, A. (2013). Self medication with antibiotics in Yogyakarta City Indonesia. (Thesis). University of Adelaide. Retrieved from http://hdl.handle.net/2440/83586

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Widayati, Aris. “Self medication with antibiotics in Yogyakarta City Indonesia.” 2013. Thesis, University of Adelaide. Accessed January 19, 2021. http://hdl.handle.net/2440/83586.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Widayati, Aris. “Self medication with antibiotics in Yogyakarta City Indonesia.” 2013. Web. 19 Jan 2021.

Vancouver:

Widayati A. Self medication with antibiotics in Yogyakarta City Indonesia. [Internet] [Thesis]. University of Adelaide; 2013. [cited 2021 Jan 19]. Available from: http://hdl.handle.net/2440/83586.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Widayati A. Self medication with antibiotics in Yogyakarta City Indonesia. [Thesis]. University of Adelaide; 2013. Available from: http://hdl.handle.net/2440/83586

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Adelaide

26. Jahan, Nasreen. Practices and perceptions of introductory OHS education in secondary schools: towards a conceptual framework for effective OHS education for young workers.

Degree: 2013, University of Adelaide

URL: http://hdl.handle.net/2440/84231

► Background. Despite the evidence of significant under-reporting, young workers are over-represented in injury statistics. Possible reasons for higher injury rates include lack of skill due… (more)

▼ Background. Despite the evidence of significant under-reporting, young workers are over-represented in injury statistics. Possible reasons for higher injury rates include lack of skill due to inexperience, cognitive and emotional immaturity, inadequate training and supervision, and unfamiliarity with working requirements and safe operating procedures. This may also include incomplete physical development for physically demanding work and unsafe behaviours due to peer pressure or risk-taking tendencies. There is a body of evidence indicating an association between occupational health and safety (OHS) training and a lower incidence of workplace injuries, but other research indicates that young workers often receive little or no training. The limited knowledge among young people about workplace hazards, together with inconsistency in the provision of workplace OHS training indicate a need for introductory OHS education in schools. Ideally such education should be complementary to that provided in workplaces, in the community and in the home by parents. Key informants of the situation in schools are the teachers themselves. However, teacher perspectives, as well as parent perspectives have received little attention in the literature. In order to contextualise the issues, as part of the preliminary work of this research, a statistical review of young worker injury experience over a ten year period in South Australia was undertaken. A significantly higher rate of injury among young males was found, along with higher rates for 15-19 year olds compared with 20-24 year old workers. An international literature review of school-based OHS education programs was carried out, which revealed a shortage of evaluation studies. The literature review was then extended to systematically examine workplace-based training in the hospitality and food retailing sectors, where a high proportion of young people are employed. The findings suggested the importance of relevance, co-learning, and mode of delivery of training particularly participatory engagement. It is evident that there are significant knowledge gaps, not only about the elements of effective OHS education, but also how they are seen (perspectives) and operationalized (practices) by the various stakeholders. Thus the objectives of the research are twofold: Firstly, to survey current school-based introductory OHS teaching practices as well as the perspectives of teachers and parents: Secondly, to analyse and synthesize the findings and ideas to develop a conceptual framework for effective OHS education for young workers. Methods. A mixed methods approach was used – namely a questionnaire survey of teachers and interviews with parents. Following focus group discussions with teachers and school-to-work advisors, a questionnaire was developed. The participants of the survey comprise teachers from all public, independent and catholic schools providing secondary education in South Australia (n=211). Questions on current practice, teachers’ perceptions and barriers and incentives were… Advisors/Committee Members: Pisaniello, Dino Luigi (advisor), Braunack-Mayer, Annette Joy (advisor), Winefield, Helen Russell (advisor), School of Population Health (school).

Subjects/Keywords: young worker; school OHS educaton; injury young; introductory OHS education

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Jahan, N. (2013). Practices and perceptions of introductory OHS education in secondary schools: towards a conceptual framework for effective OHS education for young workers. (Thesis). University of Adelaide. Retrieved from http://hdl.handle.net/2440/84231

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Jahan, Nasreen. “Practices and perceptions of introductory OHS education in secondary schools: towards a conceptual framework for effective OHS education for young workers.” 2013. Thesis, University of Adelaide. Accessed January 19, 2021. http://hdl.handle.net/2440/84231.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Vancouver:

Jahan N. Practices and perceptions of introductory OHS education in secondary schools: towards a conceptual framework for effective OHS education for young workers. [Internet] [Thesis]. University of Adelaide; 2013. [cited 2021 Jan 19]. Available from: http://hdl.handle.net/2440/84231.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Jahan N. Practices and perceptions of introductory OHS education in secondary schools: towards a conceptual framework for effective OHS education for young workers. [Thesis]. University of Adelaide; 2013. Available from: http://hdl.handle.net/2440/84231

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Adelaide

27. Xu, Maoyi. Medical students’ motivations for studying medicine: changes and relationship with altruistic attitudes, expectations, and experiences of learning at university.

Degree: 2014, University of Adelaide

URL: http://hdl.handle.net/2440/91873

► Background: Altruism is regarded as a core attribute of medical practice and an important motivation for medical students to study medicine. Medical students’ motivations for… (more)

▼ Background: Altruism is regarded as a core attribute of medical practice and an important motivation for medical students to study medicine. Medical students’ motivations for studying medicine have also been found to have an impact on multiple aspects of their learning at medical school. These are important areas of investigation because medical students are expected to graduate with the professionalism which prepares them for providing care to patients, and a commitment to continuous learning of skills and knowledge. To date there has been little longitudinal research into changes in medical students’ motivations for studying medicine during medical school and factors that affect motivational changes. This study aims to explore medical students’ motivations for studying medicine before and during medical school, and its relationships with altruistic attitudes and expectations/experiences of learning at university. Method: The study was conducted within the University of Adelaide undergraduate entry medical program. The medical applicants completed the entry baseline questionnaire at the application stage for 2012 and then the entry follow-up questionnaire 12 months later in 2013 (as second year medical students). Meanwhile, the fourth year medical students completed the fourth-year baseline questionnaire in the middle of their fourth year in 2012 and then the fourth-year follow-up questionnaire 12 months later in 2013 (as fifth year medical students). Not everyone who completed the baseline questionnaires completed the follow-up questionnaires, and vice versa. The questionnaires included a socio-demographic section and Likert items concerning the reasons for studying medicine, altruistic attitudes, and expectations/experiences of learning at university. Results: Baseline responses from medical applicants and fourth year medical students showed that desire for helping others and the enjoyment of interacting with people were the most important reasons for studying medicine, followed by scientific curiosity. Four factors of reasons for studying medicine were identified through factor analysis: people-orientation, science-orientation, job status/security, and external pressure. Those medical applicants who rated people-orientation as more important tended to have significantly higher levels of altruistic attitudes, and to consider ready access to staff and interaction with other students to be significantly more important. The medical applicants who rated science-orientation as more important were in greater agreement about the likelihood of continuing study after graduation. Similar relationships were found among the fourth year medical students. Comparison between baseline and follow-up responses showed that the second year medical students considered people-orientation and science-orientation significantly less important than the medical applicants, while job status/security and external pressure were significantly more important as reasons for studying medicine than for the medical applicants. However, job… Advisors/Committee Members: Braunack-Mayer, Annette Joy (advisor), Laurence, Caroline Olivia Mary (advisor), Giles, Lynne Catherine (advisor), O'Keefe, Maree Frances (advisor), School of Population Health (school).

Subjects/Keywords: medical students; motivation; altruistic attitudes; learning experiences

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APA (6^th Edition):

Xu, M. (2014). Medical students’ motivations for studying medicine: changes and relationship with altruistic attitudes, expectations, and experiences of learning at university. (Thesis). University of Adelaide. Retrieved from http://hdl.handle.net/2440/91873

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Xu, Maoyi. “Medical students’ motivations for studying medicine: changes and relationship with altruistic attitudes, expectations, and experiences of learning at university.” 2014. Thesis, University of Adelaide. Accessed January 19, 2021. http://hdl.handle.net/2440/91873.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Vancouver:

Xu M. Medical students’ motivations for studying medicine: changes and relationship with altruistic attitudes, expectations, and experiences of learning at university. [Internet] [Thesis]. University of Adelaide; 2014. [cited 2021 Jan 19]. Available from: http://hdl.handle.net/2440/91873.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Xu M. Medical students’ motivations for studying medicine: changes and relationship with altruistic attitudes, expectations, and experiences of learning at university. [Thesis]. University of Adelaide; 2014. Available from: http://hdl.handle.net/2440/91873

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Adelaide

28. Xia, Ting. A co-benefit analysis of alternative transportation in Adelaide, Australia: integrating perspectives from communities and stakeholders for sustainable change.

Degree: 2015, University of Adelaide

URL: http://hdl.handle.net/2440/93500

► Background The increasing number of motor vehicles in urban areas has a significant impact on the environment, as well as, on human health. Motor vehicle… (more)

▼ Background The increasing number of motor vehicles in urban areas has a significant impact on the environment, as well as, on human health. Motor vehicle emissions contribute a considerable amount of energy-related greenhouse gases and cause non-negligible air pollution. In addition, over-dependence on cars has also encouraged a sedentary lifestyle and an obesity epidemic, which may lead to increased burden of diseases. These health and environmental costs of motor vehicle usage can be reduced by encouraging individuals to change their travel behaviours in order to increase their use of alternative transport. Such a strategy provides an opportunity for collaboration between people working in the transportation, environment and public health areas. However, limited studies currently exist to provide sufficient evidence for policy and interventions relating to this issue. Aims The aims of the research presented in this thesis are to improve our understanding of the co-benefit effects of alternative transport and to investigate perspectives from communities and stakeholders on sustainable travel behaviour change in Adelaide, South Australia. Methods A mixed-method study design was employed, with three interrelated studies conducted: two quantitative and one qualitative. The first study was focussed on a scenario-based modelling analysis. Separate models, including air pollution, health impact assessment, and traffic injury models, were developed in relation to scenarios for car reduction with possible environmental and health outcomes, in order to evaluate the overall potential benefits of alternative transport. The second study involved a cross-sectional survey conducted in the Adelaide metropolitan area. A total of 381 residents were interviewed using the computer-assisted telephone interviewing (CATI) system. Descriptive statistical analysis, factor analysis, Pearson correlations, and multiple logistic regressions were performed to investigate the relationships between participants’ attitudes and their travel behaviours and to explore predictors of participants’ intention to reduce car use. The third study presented in the thesis adopted a qualitative approach to explore the perspectives of stakeholders relevant to changing transport behaviours. In-depth interviews with key stakeholders (n=13) were conducted, and a thematic analysis of the resulting transcripts identified some of the particular challenges that must be overcome in order to promote alternative transport. Results Results of the first study indicated that the major health benefits associated with the promotion of alternative transport policies related to increased physical activity. In the increased cycling scenarios, it was found that a small shift from car travel to cycling would reduce the burden of disease related to physical inactivity by 17-34% (1991-4132 disability-adjusted life years [DALYs] prevented), compared with a Business As Usual scenario by 2030. Results indicated that important health benefits can also be achieved by increasing… Advisors/Committee Members: Crabb, Shona Helen (advisor), Zhang, Ying (advisor), Braunack-Mayer, Annette Joy (advisor), Shah, Pushan (advisor), School of Population Health (school).

Subjects/Keywords: alternative transport; air pollution; active transport; health impact assessment; travel behaviour; transport policy; stakeholders

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APA (6^th Edition):

Xia, T. (2015). A co-benefit analysis of alternative transportation in Adelaide, Australia: integrating perspectives from communities and stakeholders for sustainable change. (Thesis). University of Adelaide. Retrieved from http://hdl.handle.net/2440/93500

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Xia, Ting. “A co-benefit analysis of alternative transportation in Adelaide, Australia: integrating perspectives from communities and stakeholders for sustainable change.” 2015. Thesis, University of Adelaide. Accessed January 19, 2021. http://hdl.handle.net/2440/93500.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Xia, Ting. “A co-benefit analysis of alternative transportation in Adelaide, Australia: integrating perspectives from communities and stakeholders for sustainable change.” 2015. Web. 19 Jan 2021.

Vancouver:

Xia T. A co-benefit analysis of alternative transportation in Adelaide, Australia: integrating perspectives from communities and stakeholders for sustainable change. [Internet] [Thesis]. University of Adelaide; 2015. [cited 2021 Jan 19]. Available from: http://hdl.handle.net/2440/93500.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Xia T. A co-benefit analysis of alternative transportation in Adelaide, Australia: integrating perspectives from communities and stakeholders for sustainable change. [Thesis]. University of Adelaide; 2015. Available from: http://hdl.handle.net/2440/93500

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Adelaide

29. Gialamas, Angela. The quality, type and time spent in child care in the first three years of life and children’s cognitive and socio-emotional development at school entry.

Degree: 2015, University of Adelaide

URL: http://hdl.handle.net/2440/98716

► Background: Evidence from decades of research suggests that children’s experiences before starting school are crucial foundations for learning and behaviour across the life course. During… (more)

▼ Background: Evidence from decades of research suggests that children’s experiences before starting school are crucial foundations for learning and behaviour across the life course. During the preschool years, children spend a large proportion of their time both in the family home and in the non-parental child care environment. The family home and non-parental child care settings are the key caregiving environments where infants and toddlers learn and build healthy relationships prior to commencing school. Previous research, mainly from the USA, suggests that the type, time and quality of child care influences children’s development, but there is little or no information describing the effects of these different aspects of child care on children’s development within the Australian context. Aim: The overarching aim of this thesis was to investigate the association between the type, time and quality of child care experienced by infants (0-1 years) and toddlers (2-3 years) and these children’s cognitive (receptive vocabulary, task attentiveness, academic literacy and maths proficiency) and socio-emotional development (emotional regulation, internalising and externalising behaviours) when they started school (aged 4-5 and 6-7). Specifically the aims were: • To determine whether the total amount of time spent in child care through the first three years of life was associated with children’s cognitive and socio-emotional development at age 4-5 years and whether this association varied according to the primary type of child care; • To determine whether the quality of formal child care at age 2-3 years was associated with children’s cognitive and socio-emotional development at age 4-5 and 6-7 years; • To establish if higher quality child care was associated with better cognitive and socioemotional outcomes at school entry for children from lower compared to higher income families. Method: Data for this thesis were drawn from the Longitudinal Study of Australian Children, a national study following the health and development of a population-representative sample of children recruited in their first year of life (age range 3 to 19 months). The analytic approaches to answer the aims of this thesis included multiple imputation, regression, propensity score matching, effect measure modification, and the absolute and relative slope differences within strata of income. Results: In the first study, more time in child care through the first three years of life was not associated with children’s receptive vocabulary ability but was associated with higher levels of parent-reported and teacher-reported externalising problem behaviours and lower levels of parent-reported internalising problem behaviours at age 4-5 years. These effects were concentrated among children who experienced predominately centre-based child care. In the second study, the quality of relationships in formal child care at age 2-3 years was associated with children’s task attentiveness, emotional regulation, receptive vocabulary, literacy and maths proficiency,… Advisors/Committee Members: Lynch, John (advisor), Mittinty, Murthy (advisor), Sawyer, Michael Gifford (advisor), Zubrick, Stephen (advisor), School of Population Health (school).

Subjects/Keywords: child care; early childhood; cognitive development; child behaviour

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Gialamas, A. (2015). The quality, type and time spent in child care in the first three years of life and children’s cognitive and socio-emotional development at school entry. (Thesis). University of Adelaide. Retrieved from http://hdl.handle.net/2440/98716

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Gialamas, Angela. “The quality, type and time spent in child care in the first three years of life and children’s cognitive and socio-emotional development at school entry.” 2015. Thesis, University of Adelaide. Accessed January 19, 2021. http://hdl.handle.net/2440/98716.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Vancouver:

Gialamas A. The quality, type and time spent in child care in the first three years of life and children’s cognitive and socio-emotional development at school entry. [Internet] [Thesis]. University of Adelaide; 2015. [cited 2021 Jan 19]. Available from: http://hdl.handle.net/2440/98716.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Gialamas A. The quality, type and time spent in child care in the first three years of life and children’s cognitive and socio-emotional development at school entry. [Thesis]. University of Adelaide; 2015. Available from: http://hdl.handle.net/2440/98716

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Adelaide

30. Akompab, Derick Akoku. Population health and climate change: public perceptions, attitudes and adaptation to heat waves in Adelaide, Australia.

Degree: 2014, University of Adelaide

URL: http://hdl.handle.net/2440/99892

► Background and objectives: There is compelling scientific evidence that climate change will increase the frequency of heat waves which have an impact on population health.… (more)

▼ Background and objectives: There is compelling scientific evidence that climate change will increase the frequency of heat waves which have an impact on population health. In Adelaide, unprecedented heat waves have been experienced in recent years which had significant impact on human health. The objectives of this research project were to: (1) explore public opinion (views and attitudes) about heat waves in relation to climate change, (2) explore public understanding of the consequences and the emotional and psychological responses associated with heat waves, (3) identify the predictors of risk perception using a heat wave scenario and adaptive behaviours during heat waves; and (4) explore the concept of multi-stakeholder processes during the development of an adaptation strategy for heat waves. Methods: In the first study, interviews were conducted among fourteen residents to explore their views about heat waves, their understanding of its consequences and the emotional and psychological responses associated with heat waves. The second study was a cross-sectional study that examined the attitudes towards heat waves, risk perception and adaptive behaviours during heat waves among 267 participants with the health belief model used as the theoretical framework. The third study explored the concept of multi-stakeholder processes during the development of an adaptation strategy for heat waves. Data were gathered through a review of policy documents and interviews with eighteen stakeholders involved in the strategy development process. Qualitative data were analysed according to themes while descriptive and inferential statistical techniques were used to analyse quantitative data. Results: In the first study, most participants didn’t associate recent heat waves in Adelaide with climate change, although they acknowledged a considerable change in weather patterns over recent years. Although there were differences in the level of understanding among the participants, they modified their behaviours during a heat wave. Fear, worry, anxiety and concern were the main emotional responses associated with heat waves. Participants were concerned about low agricultural productivity, the costs of running an air-conditioner, sleeping well, and the threat of bush fires during a heat wave. In the second study, there was a significant association between gender, annual household income and concern for the societal effects of heat waves. About 43.2% of the participants believed that heat waves will extremely or very likely increase in Adelaide according to climate projections; 49.3% believed that the effects of heat waves were already being felt. The significant predictors of risk perception included age, marital status, annual household income, fan ownership and living arrangements. Participants’ perceived benefit, cues to action, educational level, and annual household income were associated with adaptive behaviours during a heat wave. In the third study, there was high level governance, leadership, collaboration, coordination and good… Advisors/Committee Members: Bi, Peng (advisor), Williams, Susan (advisor), Walker, Iain (advisor), Augoustinos, Martha (advisor), Saniotis, Arthur (advisor), School of Population Health (school).

Subjects/Keywords: climate change; human health; heat waves; mental models; health belief model; risk perception; adaptive behaviours; stakeholder engagements

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Akompab, D. A. (2014). Population health and climate change: public perceptions, attitudes and adaptation to heat waves in Adelaide, Australia. (Thesis). University of Adelaide. Retrieved from http://hdl.handle.net/2440/99892

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Akompab, Derick Akoku. “Population health and climate change: public perceptions, attitudes and adaptation to heat waves in Adelaide, Australia.” 2014. Thesis, University of Adelaide. Accessed January 19, 2021. http://hdl.handle.net/2440/99892.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Akompab, Derick Akoku. “Population health and climate change: public perceptions, attitudes and adaptation to heat waves in Adelaide, Australia.” 2014. Web. 19 Jan 2021.

Vancouver:

Akompab DA. Population health and climate change: public perceptions, attitudes and adaptation to heat waves in Adelaide, Australia. [Internet] [Thesis]. University of Adelaide; 2014. [cited 2021 Jan 19]. Available from: http://hdl.handle.net/2440/99892.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Akompab DA. Population health and climate change: public perceptions, attitudes and adaptation to heat waves in Adelaide, Australia. [Thesis]. University of Adelaide; 2014. Available from: http://hdl.handle.net/2440/99892

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

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Open Access Theses and Dissertations