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Showing papers by "University of South Australia published in 2008"


Journal ArticleDOI
TL;DR: This review will provide an overview of oxidative biochemistry related to sperm health and identify which men are most at risk of oxidative infertility, and outline methods available for diagnosing oxidative stress and the various treatments available.
Abstract: Oxidative stress occurs when the production of potentially destructive reactive oxygen species (ROS) exceeds the bodies own natural antioxidant defenses, resulting in cellular damage. Oxidative stress is a common pathology seen in approximately half of all infertile men. ROS, defined as including oxygen ions, free radicals and peroxides are generated by sperm and seminal leukocytes within semen and produce infertility by two key mechanisms. First, they damage the sperm membrane, decreasing sperm motility and its ability to fuse with the oocyte. Second, ROS can alter the sperm DNA, resulting in the passage of defective paternal DNA on to the conceptus. This review will provide an overview of oxidative biochemistry related to sperm health and will identify which men are most at risk of oxidative infertility. Finally, the review will outline methods available for diagnosing oxidative stress and the various treatments available.

1,231 citations


Journal ArticleDOI
TL;DR: In this article, the authors examined how using Likert-type scales with either 5-point, 7-point or 10-point format affects the resultant data in terms of mean scores, and measures of dispersion and shape.
Abstract: This study examined how using Likert-type scales with either 5-point, 7-point or 10-point format affects the resultant data in terms of mean scores, and measures of dispersion and shape. Three groups of respondents were administered a series of eight questions (group n’s = 300, 250, 185). Respondents were randomly selected members of the general public. A different scale format was administered to each group. The 5and 7-point scales were rescaled to a comparable mean score out of ten. The study found that the 5and 7-point scales produced the same mean score as each other, once they were rescaled. However, the 10-point format tended to produce slightly lower relative means than either the 5or 7point scales (after the latter were rescaled). The overall mean score of the eight questions was 0.3 scale points lower for the 10-point format compared to the rescaled 5and 7-point formats. This difference was statistically significant at p = 0.04. In terms of the other data characteristics, there was very little difference among the scale formats in terms of variation about the mean, skewness or kurtosis. This study is ‘good news’ for research departments or agencies who ponder whether changing scale format will destroy the comparability of historical data. 5and 7-point scales can easily be rescaled with the resultant data being quite comparable. In the case of comparing 5or 7-point data to 10-point data, a straightforward rescaling and arithmetic adjustment easily facilitates the comparison. The study suggests that indicators of customer sentiment – such as satisfaction surveys – may be partially dependent on the choice of scale format. A 5or 7-point scale is likely to produce slightly higher mean scores relative to the highest possible attainable score, compared to that produced from a 10-point scale. International Journal of Market Research Vol. 50 Issue 1

1,194 citations


Book ChapterDOI
01 Jan 2008
TL;DR: This work presents a brief introduction to Bayesian networks, a theoretical framework for dealing with uncertainty using an underlying graphical structure and the probability calculus, and gives some pointers to the literature.
Abstract: Reasoning with incomplete and unreliable information is a central characteristic of decision making, for example in industry, medicine and finance. Bayesian networks provide a theoretical framework for dealing with this uncertainty using an underlying graphical structure and the probability calculus. Bayesian networks have been successfully implemented in areas as diverse as medical diagnosis and finance. We present a brief introduction to Bayesian networks for those readers new to them and give some pointers to the literature.

1,125 citations


Journal ArticleDOI
TL;DR: Coastal wetlands function as valuable, selfmaintaining “horizontal levees” for storm protection, and also provide a host of other ecosystem services that vertical levees do not, which is an extremely cost-effective strategy for society.
Abstract: Coastal wetlands reduce the damaging effects of hurricanes on coastal communities. A regression model using 34 major US hurricanes since 1980 with the natural log of damage per unit gross domestic product in the hurricane swath as the dependent variable and the natural logs of wind speed and wetland area in the swath as the independent variables was highly significant and explained 60% of the variation in relative damages. A loss of 1 ha of wetland in the model corresponded to an average USD 33 000 (median ¼ USD 5000) increase in storm damage from specific storms. Using this relationship, and taking into account the annual probability of hits by hurricanes of varying intensities, we mapped the annual value of coastal wetlands by 1km 3 1km pixel and by state. The annual value ranged from USD 250 to USD 51 000 ha � 1 yr � 1 , with a mean of USD 8240 ha � 1 yr � 1 (median ¼ USD 3230 ha � 1 yr � 1 ) significantly larger than previous estimates. Coastal wetlands in the US were estimated to currently provide USD 23.2 billion yr � 1 in storm protection services. Coastal wetlands function as valuable, selfmaintaining ‘‘horizontal levees’’ for storm protection, and also provide a host of other ecosystem services that vertical levees do not. Their restoration and preservation is an extremely cost-effective strategy for society.

679 citations


Journal ArticleDOI
TL;DR: The Compendium of Energy Expenditures for Youth is useful to researchers and practitioners interested in identifying physical activity and energy expenditure values in children and adolescents in a variety of settings.
Abstract: Background: This paper presents a Compendium of Energy Expenditures for use in scoring physical activity questionnaires and estimating energy expenditure levels in youth. Method/Results: Modeled after the adult Compendium of Physical Activities, the Compendium of Energy Expenditures for Youth contains a list of over 200 activities commonly performed by youth and their associated MET intensity levels. A review of existing data collected on the energy cost of youth performing activities was undertaken and incorporated into the compendium. About 35% of the activity MET levels were derived from energy cost data measured in youth and the remaining MET levels estimated from the adult compendium. Conclusion: The Compendium of Energy Expenditures for Youth is useful to researchers and practitioners interested in identifying physical activity and energy expenditure values in children and adolescents in a variety of settings.

562 citations


Journal ArticleDOI
TL;DR: In this article, the authors investigate how collaborative relationships enhance continuous innovation in the supply chain using case studies and find that the ability to work together with partners has enabled firms to integrate and link operations for increased effectiveness as well as embark on both radical and incremental innovation.
Abstract: – The purpose of this study is to investigate how collaborative relationships enhance continuous innovation in the supply chain using case studies., – The data were collected from semi‐structured interviews with 23 managers in ten case studies. The main intention was to comprehend how these firms engaged in collaborative relationships and their importance for successful innovation. The study adopted a qualitative approach to investigating these factors., – The findings demonstrate how differing relationships can impact on the operation of firms and their capacities to innovate. The ability to work together with partners has enabled firms to integrate and link operations for increased effectiveness as well as embark on both radical and incremental innovation., – The research into the initiatives and strategies for collaboration was essentially exploratory. A qualitative approach using case studies acknowledged that the responses from managers were difficult to quantify or gauge the extent of these factors., – The findings have shown various methods where firms integrated with customers and suppliers in the supply chain. This was evident in the views of managers across all the firms examined, supporting the importance of collaboration and efficient allocation of resources throughout the supply chain. They were able to set procedures in their dealings with partners, sharing knowledge and processes, and subsequently joint‐planning and investing with them for better operations, systems and processes in the supply chain., – The case studies serve as examples for managers in logistics organisation who are contemplating strategies and issues on collaborative relationships. The study provides important lessons on how such relationships can impact on the operation of firms and their capability to innovate.

468 citations


Journal ArticleDOI
TL;DR: This systematic review found that peer teaching and learning is an effective educational intervention for health science students on clinical placements and can increase clinical placement opportunities for undergraduate health students, assist clinical staff with workload pressures and increase clinician time with clients, while further developing students' knowledge, skills and attitudes.
Abstract: Aims and objectives. The purpose of this review is to provide a framework for peer teaching and learning in the clinical education of undergraduate health science students in clinical practice settings and make clear the positive and negative aspects of this teaching and learning strategy. Background. The practice of using peers incidentally or purposefully in the clinical education of apprentice or undergraduate health science students is a well-established tradition and commonly practiced, but lacks definition in its implementation. Method. The author conducted a search of health science and educational electronic databases using the terms peer, clinical education and undergraduate. The set limitations were publications after 1980 (2005 inclusive), English language and research papers. Selection of studies occurred: based on participant, intervention, research method and learning outcomes, following a rigorous critical and quality appraisal with a purposefully developed tool. The results have been both tabled and collated in a narrative summary. Results. Twelve articles met the inclusion criteria, representing five countries and four health science disciplines. This review reported mostly positive outcomes on the effectiveness of peer teaching and learning; it can increase student's confidence in clinical practice and improve learning in the psychomotor and cognitive domains. Negative aspects were also identified; these include poor student learning if personalities or learning styles are not compatible and students spending less individualized time with the clinical instructor. Conclusions. Peer teaching and learning is an effective educational intervention for health science students on clinical placements. Preclinical education of students congruent with the academic timetable increases student educational outcomes from peer teaching and learning. Strategies are required prior to clinical placement to accommodate incompatible students or poor student learning. Relevance to clinical practice. The findings from this systematic review, although not statistically significant, do have pragmatic implications for clinical practice. It can increase clinical placement opportunities for undergraduate health students, assist clinical staff with workload pressures and increase clinician time with clients, while further developing students’ knowledge, skills and attitudes.

458 citations


Journal ArticleDOI
TL;DR: Successful guideline implementation strategies should be multifaceted, and actively engage clinicians throughout the process, as well as cost-effectiveness studies were rare.
Abstract: Objective To establish the effectiveness of clinical guideline implementation strategies. Data sources/study setting Systematic reviews in full text, English language, 1987–2007, reporting any measure of clinical process change or cost–benefit analysis. Study design Overview of secondary evidence Data collection/extraction methods Independent critical appraisal using AMSTAR, primary author undertaking all data extraction using a purpose-built form. Principal findings We identified 144 potential papers, from which 33 systematic reviews were included. These reflected 714 primary studies involving 22 512 clinicians, in a range of health care settings. Implementation strategies were varied, rarely comparable, with variable outcomes. Effective implementation strategies included multifaceted interventions, interactive education and clinical reminder systems. Didactic education and passive dissemination strategies were ineffective. Cost-effectiveness studies were rare. Conclusions Successful guideline implementation strategies should be multifaceted, and actively engage clinicians throughout the process.

440 citations


Journal ArticleDOI
TL;DR: Self-control was found to be a moderator of the relationship between revenge cognitions and deviant acts; the relationship was weaker for people high in self-control.
Abstract: In this article, psychological contract breach, revenge, and workplace deviance are brought together to identify the cognitive, affective, and motivational underpinnings of workplace deviance. On the basis of S. L. Robinson and R. J. Bennett's (1997) model of workplace deviance, the authors proposed that breach (a cognitive appraisal) and violation (an affective response) initiate revenge seeking. Motivated by revenge, employees then engage in workplace deviance. Three studies tested these ideas. All of the studies supported the hypothesized relationships. In addition, self-control was found to be a moderator of the relationship between revenge cognitions and deviant acts; the relationship was weaker for people high in self-control.

370 citations


Journal ArticleDOI
TL;DR: In this article, a survey was conducted with tourists in five South Australian tourism regions that measured respondents’ attitudes towards tourism experiences in South Australia and the results indicated that the combined use of involvement and place attachment is applicable in tourism.

363 citations


Journal ArticleDOI
TL;DR: This study among 168 couples of dual-earner parents uses insights from previous work-family conflict and crossover research to propose an integrative model delineating how job demands experienced by men and women carry over to the home domain and suggest fluid boundaries between the work and home domains.
Abstract: This study among 168 couples of dual-earner parents uses insights from previous work-family conflict and crossover research to propose an integrative model delineating how job demands experienced by men and women carry over to the home domain. The authors hypothesized that for both men and women, job demands foster their own work-family conflict (WFC), which in turn contributes to their partners' home demands, family-work conflict (FWC), and exhaustion. In addition, they hypothesized that social undermining mediates the relationship between individuals' WFC and their partners' home demands. The results of structural equation modeling analyses provided strong support for the proposed model. The hypothesis that gender would moderate the model relationships was rejected. These findings integrate previous findings on work-family conflict and crossover theories and suggest fluid boundaries between the work and home domains.

Journal ArticleDOI
TL;DR: Results indicated the presence of specific SP patterns in this sample of children with AD and several significant relationships were found between SP and social, emotional and behavioural function.
Abstract: Sensory processing (SP) difficulties have been reported in as many as 95% of children with autism, however, empirical research examining the existence of specific patterns of SP difficulties within this population is scarce. Furthermore, little attention has been given to examining the relationship between SP and either the core symptoms or secondary manifestations of autism. In the current study, SP patterns in children with autistic disorder (AD) were investigated via a caregiver questionnaire and findings were correlated with the social, emotional and behavioural responsiveness of participants. Results indicated the presence of specific SP patterns in this sample of children with AD and several significant relationships were found between SP and social, emotional and behavioural function.

Journal ArticleDOI
TL;DR: In this paper, the authors provide an overview of the upcoming technology of permeable reactive barriers for groundwater remediation, and a comprehensive list of references and web-links are provided for further in-depth understanding.

Journal ArticleDOI
TL;DR: In this paper, the PMBOK® Guide is one of the major recommended texts in Australian universities offering project management education, and it predominantly emphasizes the required technical skills at the expense of the human skills.

Journal ArticleDOI
TL;DR: In this article, a conceptual framework for developing high-quality professional experiences for pre-service teachers is provided, with a discussion of how professional experiences are conceptualised, structured and supervised in each of three orientations, which are termed traditional, reflective and learning communities.

Journal ArticleDOI
TL;DR: Two new definitions, parameter important degree and decision partition, are proposed for analyzing the algorithm of normal parameter reduction in soft sets to overcome the problems of suboptimal choice and added parameter set.
Abstract: This paper is concerned with the reduction of soft sets and fuzzy soft sets. Firstly, the problems of suboptimal choice and added parameter set of soft sets are analyzed. Then, we introduce the definition of normal parameter reduction in soft sets to overcome these problems. In addition, a heuristic algorithm of normal parameter reduction is presented. Two new definitions, parameter important degree and decision partition, are proposed for analyzing the algorithm of normal parameter reduction. Furthermore, the normal parameter reduction is also investigated in fuzzy soft sets.

Journal ArticleDOI
TL;DR: In this paper, the authors draw insights from the group value model as a theoretical extension to explain employees' negative responses to psychological contract breach, which results in less willingness on the part of the employees to engage in organizational citizenship behaviours (OCBs).
Abstract: Research on psychological contract breach has referenced social exchange as its dominant theoretical foundation. In this study, we draw insights from the group value model as a theoretical extension to explain employees’ negative responses to psychological contract breach. According to the group value model, fair treatment by group members communicates symbolic messages about the relationship between the organization and the employee, and has implications for whether employees can take pride in their organizational membership. When people are treated unfairly, they lose trust in the organization and dis-identify from the group. This in turn results in less willingness on the part of the employees to engage in organizational citizenship behaviours (OCBs). We tested these relationships across three studies. In Study 1, we conducted a longitudinal test of the role of trust as a mediator between breach and organizational identification. In Studies 2 (cross-sectional) and 3 (longitudinal), we tested the complete model in which we examined the role of trust and identification in mediating the link between breach and OCBs. All three studies provided support for the mediated model. Furthermore, as predicted by the group value model, the hypothesized relationships emerged in response to relational but not transactional contract breaches. Theoretical and applied implications are discussed.

Journal ArticleDOI
TL;DR: In this article, the authors explore the concept of employability as it has evolved over time and propose a new definition which reflects the critical variables that contribute to employability at an individual level.
Abstract: Purpose – The purpose of this paper is to explore the concept of employability as it has evolved over time and to propose a new definition which reflects the critical variables that contribute to employability at an individual level It also offers suggestions for how to manage employability and careers at both an individual and an organisational levelDesign/methodology/approach – The paper reviews the literature on employability It considers why employability has become a topic of interest, examines how the concept has evolved over time, and seeks to develop a working definition It suggests a range of practical strategies for individual and organisations to ensure that employability is managed successfullyFindings – Employability is as dependent on context as on the individual Therefore the current emphasis on individual responsibility for employability needs to be re‐examined and a greater emphasis placed on how organisations can support employees to manage careers and employability This shift in

Journal ArticleDOI
TL;DR: How sheep models of IUGR have provided an increased understanding of the nature of the fetal adaptations to IUBR, their longer‐term physiological consequences and how to improve clinical management of IugR in human pregnancies is summarized.
Abstract: 1 Intrauterine growth restriction (IUGR) has been associated with poor perinatal health outcomes Animal models have been used to investigate why IUGR is associated with a poor prognosis The sheep has been used extensively as an experimental model for IUGR with poor placental substrate supply to the fetus induced using a range of methods, including the surgical ablation of the majority of endometrial caruncles prior to conception, experimental induction of maternal hyperthermia, ligation of an umbilical artery or embolization of the placenta in late gestation and maternal overnutrition in the pregnant adolescent ewe 2 Fetal adaptations to fetal hypoxia and hypoglycaemia include activation of the fetal hypothalamic-pituitary-adrenal (HPA) axis and sympathetic nervous system and an associated increase in circulating cortisol and noradrenaline concentrations Fetal cardiovascular responses vary according to the method used to induce placental dysfunction 3 Although an array of experimental models has been used to induce placental dysfunction at different stages of fetal development, each leads to remarkably similar fetal growth, metabolic, neuroendocrine and cardiovascular adaptations and consequences The extent and range of the fetal physiological adaptations to chronic placental insufficiency are determined by the duration of exposure and the degree of the severity of substrate supply restriction 4 The present review summarizes how sheep models of IUGR have provided an increased understanding of the nature of the fetal adaptations to IUGR, their longer-term physiological consequences and how to improve clinical management of IUGR in human pregnancies

Journal ArticleDOI
TL;DR: The evidence that such tradeoffs are anticipated from conception and that the periconceptional nutritional environment can programme the developmental trajectory of the stress axis and the systems that maintain and regulate arterial blood pressure is reviewed.
Abstract: The 'developmental origins of adult health and disease' hypothesis stated that environmental factors, particularly maternal undernutrition, act in early life to programme the risks for adverse health outcomes, such as cardiovascular disease, obesity and the metabolic syndrome in adult life. Early physiological tradeoffs, including activation of the foetal hypothalamo-pituitary-adrenal (HPA) axis, confer an early fitness advantage such as foetal survival, while incurring delayed health costs. We review the evidence that such tradeoffs are anticipated from conception and that the periconceptional nutritional environment can programme the developmental trajectory of the stress axis and the systems that maintain and regulate arterial blood pressure. There is also evidence that restriction of placental growth and function, results in an increased dependence of the maintenance of arterial blood pressure on the sequential recruitment of the sympathetic nervous system and HPA axis. While the 'early origins of adult disease' hypothesis has focussed on the impact of maternal undernutrition, an increase in maternal nutritional intake and in maternal body mass intake has become more prevalent in developed countries. Exposure to overnutrition in foetal life results in a series of central and peripheral neuroendocrine responses that in turn programme development of the fat cell and of the central appetite regulatory system. While the physiological responses to foetal undernutrition result in the physiological trade off between foetal survival and poor health outcomes that emerge after reproductive senescence, exposure to early overnutrition results in poor health outcomes that emerge in childhood and adolescence. Thus, the effects of early overnutrition can directly impact on reproductive fitness and on the health of the next generation. In this context, the physiological responses to relative overnutrition in early life may directly contribute to an intergenerational cycle of obesity.

Journal ArticleDOI
TL;DR: In this article, the key ideas in malevolent creativity are summarized in 11 principles; recognizing these helps in developing more effective means for counteracting terrorism, which is governed by the same principles as benevolent creativity, differing only in its intended purpose.
Abstract: Although creativity is often seen as an aspect of self-fulfillment, it is important to recognize its social effects. The traditional view is that these should be beneficial, creativity thus being benevolent. However, those who wish to do deliberate harm to others can also display creativity, in this case malevolent creativity. This is governed by the same principles as benevolent creativity, differing only in its intended purpose. Like any creativity, malevolent creativity can be examined through its products. Concepts from research on creative products provide important insights into the activities of terrorists and criminals, especially the idea of competing solutions. The key ideas in malevolent creativity are summarized in 11 principles; recognizing these helps in developing more effective means for counteracting terrorism.

Journal ArticleDOI
TL;DR: The influence of particular organizational factors (IT systems, structured learning strategies, innovative organizational culture, and flexible structure and design) on knowledge transfer is discussed using a conceptual framework derived from the literature.
Abstract: Purpose – Whilst knowledge transfer is a major strategy for managing contemporary organizations the impact of the key factors influencing the rate of organization knowledge transfer is relatively unknown. As a contribution to this identified gap this paper aims to discuss the influence of particular organizational factors (IT systems, structured learning strategies, innovative organizational culture, and flexible structure and design) on knowledge transfer using a conceptual framework derived from the literature. The effect of both explicit and tacit knowledge transfer on innovative capabilities and organizational performance is to be examined.Design/methodology/approach – The survey study, conducted amongst 1,086 high‐tech companies, targeted chief executive officers), CFOs (chief financial officers), COOs (chief operation officers) or top managers/administrators as they provided more reliable environmental and organizational information.Findings – The study findings, based on a sample response rate of 1...

Journal ArticleDOI
28 Jul 2008-Polymer
TL;DR: In this article, the effect of silica nanoparticles on the mechanical property and fracture toughness of two epoxy systems cured by Jeffamine D230 and 4,4′-diaminodiphenyl sulfone (denoted DDS) was investigated.

Journal ArticleDOI
TL;DR: In this article, the authors highlight the unprecedented growth of Islamic banking and finance in the contemporary finance world and present a general review that bears special features, facts and figures over the recent developments of Islamic banks and finance across the globe.
Abstract: Purpose – The main objective of this paper is to highlight the unprecedented growth of Islamic banking and finance in the contemporary finance world. It captures the advancements of Islamic banking and finance industry across the tools, systems, sectors, markets and over 75 countries from Africa, Asia, Europe and North America.Design/methodology/approach – The paper deals with the paradigm of Islamic banking and finance. It constitutes a general review that bears special features, facts and figures over the recent developments of Islamic banking and finance across the globe. It takes stock of the growing institutional and infrastructure support for the Islamic banking and finance system in Muslim countries and Western financial markets.Findings – The findings of the paper hold that Islamic banking and finance industry has been making breakthrough improvements to become a truly viable and competitive alternative to conventional systems at the global level. Islamic banking and finance institutions have acqu...

Journal ArticleDOI
TL;DR: Characteristics of successful journal clubs included regular and anticipated meetings, mandatory attendance, clear long- and short-term purpose, appropriate meeting timing and incentives, a trained journal club leader to choose papers and lead discussion, circulating papers prior to the meeting, using the internet for wider dissemination and data storage, using established critical appraisal processes and summarizing journal club findings.
Abstract: Background Health-based journal clubs have been in place for over 100 years. Participants meet regularly to critique research articles, to improve their understanding of research design, statistics and critical appraisal. However, there is no standard process of conducting an effective journal club. We conducted a systematic literature review to identify core processes of a successful health journal club. Method We searched a range of library databases using established keywords.All research designs were initially considered to establish the body of evidence. Experimental or comparative papers were then critically appraised for methodological quality and information was extracted on effective journal club processes. Results We identified 101 articles, of which 21 comprised the body of evidence. Of these, 12 described journal club effectiveness. Methodological quality was moderate. The papers described many processes of effective journal clubs. Over 80% papers reported that journal club intervention was effective in improving knowledge and critical appraisal skills. Few papers reported on the psychometric properties of their outcome instruments. No paper reported on the translation of evidence from journal club into clinical practice. Conclusion Characteristics of successful journal clubs included regular and anticipated meetings, mandatory attendance, clear long- and short-term purpose, appropriate meeting timing and incentives, a trained journal club leader to choose papers and lead discussion, circulating papers prior to the meeting, using the internet for wider dissemination and data storage, using established critical appraisal processes and summarizing journal club findings.

Journal ArticleDOI
TL;DR: High prevalence of comorbidity associated with chronic disease in Australia shows integration and co-ordination of the national health priority areas is critical, and a greater awareness of the importance of managing a patients' overall health status within the context of comorebidity is needed.
Abstract: The prevalence of comorbidity is high, with 80% of the elderly population having three or more chronic conditions. Comorbidity is associated with a decline in many health outcomes and increases in mortality and use of health care resources. The aim of this study was to identify, review and summarise studies reporting the prevalence of comorbidity of chronic diseases in Australia. A systematic review of Australian studies (1996 – May 2007) was conducted. The review focused specifically on the chronic diseases included as national health priorities; arthritis, asthma, cancer, cardiovascular disease (CVD), diabetes mellitus and mental health problems. A total of twenty five studies met our inclusion criteria. Over half of the elderly patients with arthritis also had hypertension, 20% had CVD, 14% diabetes and 12% mental health problem. Over 60% of patients with asthma reported arthritis as a comorbidity, 20% also had CVD and 16% diabetes. Of those with CVD, 60% also had arthritis, 20% diabetes and 10% had asthma or mental health problems. There are comparatively few Australian studies that focused on comorbidity associated with chronic disease. However, they do show high prevalence of comorbidity across national health priority areas. This suggests integration and co-ordination of the national health priority areas is critical. A greater awareness of the importance of managing a patients' overall health status within the context of comorbidity is needed together with, increased research on comorbidity to provide an appropriate scientific basis on which to build evidence based care guidelines for these multimorbid patients.

Journal ArticleDOI
TL;DR: Combination of sleep onset and maintenance insomnia has been associated with a 24-h elevation of core body temperature supporting the chronic hyper-arousal model of insomnia, and the possibility that these last two types of insomnia may be related to impaired thermoregulation, particularly a reduced ability to dissipate body heat from distal skin areas has not been consistently supported.

Journal ArticleDOI
TL;DR: In overweight and obese women with PCOS, the addition of aerobic or combined aerobic-resistance exercise to an energy-restricted diet improved body composition but had no additional effect on improvements in cardiometabolic, hormonal, and reproductive outcomes relative to diet alone.
Abstract: Context: In overweight women with polycystic ovary syndrome (PCOS), the benefits of the addition of exercise to an energy-restricted diet in further improving cardiometabolic risk factors and reproductive function has not been extensively studied. Objective: The objective was to evaluate the effects of aerobic and aerobic-resistance exercise when combined with an energy-restricted high protein diet (5000–6000 kJ/d) on metabolic risk factors and reproductive function in women with PCOS. Design and Setting: A 20-wk outpatient, randomized, parallel study was conducted in a metropolitan research clinic. Patients and Intervention: Ninety-four overweight and obese women with PCOS (age 29.3 ± 0.7 yr; body mass index 36.1 ± 0.5 kg/m2) were randomized to diet only (DO; n = 30), diet and aerobic exercise (DA; n = 31), or diet and combined aerobic-resistance exercise (DC; n = 33). Main Outcome Measures: Weight, body composition, cardiometabolic risk factors, hormonal status, menstrual cyclicity, and ovulatory functi...

Journal ArticleDOI
TL;DR: Breast cancer affects a woman’s body image and feelings of sexuality and more support in relation to sexuality and body image could improve relationships by identifying and clarifying perceptions, and therefore the quality of life.
Abstract: Breast cancer affects a woman's body image and feelings of sexuality. Little is known about the perceptions of spouses to the sensitive topics of sexuality and body image. A qualitative inquiry was undertaken using in-depth interviews. A diagnosis of breast cancer brought some relationships closer. Mastectomy by disturbing body image did obliterate sexual relationships for a significant period of time. Women often felt (wrongly) that their partner would be repulsed by changes. More support in relation to sexuality and body image could improve relationships by identifying and clarifying perceptions, and therefore the quality of life.

Journal ArticleDOI
TL;DR: Diversity education in academic and business settings has common goals of helping students or employees to learn diversity knowledge, attitudes, and skills as discussed by the authors. But unfortunately, researchers are missing o.....
Abstract: Diversity education in academic and business settings has common goals of helping students or employees to learn diversity knowledge, attitudes, and skills. Unfortunately, researchers are missing o...