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Among various possible options, a theme for the 1993 Menzies Lecture quite naturally emerged for an American whose special field is freedoms of expression' protected by the Constitution. A clear and easy choice was that of an American perspective on issues of free speech and press in light of the High Court judgments in Australian Capital Television Pty Ltd v Commonwealth of Australia (hereinafter ACTV) and Nationwide News Pty Ltd v Wills (hereinafter Nationwide News). The challenge of this assignment was daunting, since I realised that most who would hear and would later read these remarks would be far more conversant than I with these cases and their portent. Yet I took on the task with much enthusiasm, recognising an exceptional opportunity for international comparison and understanding.
Knowledge of sex differences in risk factors for posttraumatic stress disorder (PTSD) can contribute to the development of refined preventive interventions. Therefore, the aim of this study was to examine if women and men differ in their vulnerability to risk factors for PTSD.
Methods
As part of the longitudinal AURORA study, 2924 patients seeking emergency department (ED) treatment in the acute aftermath of trauma provided self-report assessments of pre- peri- and post-traumatic risk factors, as well as 3-month PTSD severity. We systematically examined sex-dependent effects of 16 risk factors that have previously been hypothesized to show different associations with PTSD severity in women and men.
Results
Women reported higher PTSD severity at 3-months post-trauma. Z-score comparisons indicated that for five of the 16 examined risk factors the association with 3-month PTSD severity was stronger in men than in women. In multivariable models, interaction effects with sex were observed for pre-traumatic anxiety symptoms, and acute dissociative symptoms; both showed stronger associations with PTSD in men than in women. Subgroup analyses suggested trauma type-conditional effects.
Conclusions
Our findings indicate mechanisms to which men might be particularly vulnerable, demonstrating that known PTSD risk factors might behave differently in women and men. Analyses did not identify any risk factors to which women were more vulnerable than men, pointing toward further mechanisms to explain women's higher PTSD risk. Our study illustrates the need for a more systematic examination of sex differences in contributors to PTSD severity after trauma, which may inform refined preventive interventions.
Australians visiting Europe often complain about how little they see or hear of their own country in the European media. On the face of it, there is much to justify these reactions. It is exasperating to turn the pages of British newspapers and read the trivia they contain when one knows of the much more reportable, entertaining or significant stories they could print about other parts of the world. But is the situation much better when viewed in reverse? Are not the Australian media as guilty of parochialism when it comes to coverage of the outside world? The sad but very basic fact of the matter is that all politics are local politics. All of us who specialise in international affairs have been frustrated by the leverage of local issues on the attention of politicians, journalists, other academics and public opinion. We, when all is said and done, focus on issues such as whether certain countries will continue to exist, or whether the world will be at peace or war in months or years ahead. Sadly, these topics compete poorly with less vital topics such as the love lives of the Royal family or tales of petty corruption, both in Britain and in Australia.
Perhaps the most important question to be examined in a review of Australian defence policy during 1971–75 is how much fundamental change occurred. There is a strong prima facie case for holding that the period was the most consequential five years for Australian defence policy since the Second World War. The change of governing parties in late 1972 marked the end of an era when foreign and defence policy issues played a significant part in determining the outcome of the seven successive general elections won by the Liberal and Country Parties between 1951 and 1966. Even in 1969, Australian involvement in Vietnam was not sufficiently unpopular to unseat the Gorton Government which was troubled on many fronts. Because defence was an important electoral issue throughout the 23 years of Liberal-Country Party rule, it seemed only reasonable to expect marked changes in this area following their loss of office.
Empowering the Participant Voice (EPV) is an NCATS-funded six-CTSA collaboration to develop, demonstrate, and disseminate a low-cost infrastructure for collecting timely feedback from research participants, fostering trust, and providing data for improving clinical translational research. EPV leverages the validated Research Participant Perception Survey (RPPS) and the popular REDCap electronic data-capture platform. This report describes the development of infrastructure designed to overcome identified institutional barriers to routinely collecting participant feedback using RPPS and demonstration use cases. Sites engaged local stakeholders iteratively, incorporating feedback about anticipated value and potential concerns into project design. The team defined common standards and operations, developed software, and produced a detailed planning and implementation Guide. By May 2023, 2,575 participants diverse in age, race, ethnicity, and sex had responded to approximately 13,850 survey invitations (18.6%); 29% of responses included free-text comments. EPV infrastructure enabled sites to routinely access local and multi-site research participant experience data on an interactive analytics dashboard. The EPV learning collaborative continues to test initiatives to improve survey reach and optimize infrastructure and process. Broad uptake of EPV will expand the evidence base, enable hypothesis generation, and drive research-on-research locally and nationally to enhance the clinical research enterprise.
Area-based conservation is a widely used approach for maintaining biodiversity, and there are ongoing discussions over what is an appropriate global conservation area coverage target. To inform such debates, it is necessary to know the extent and ecological representativeness of the current conservation area network, but this is hampered by gaps in existing global datasets. In particular, although data on privately and community-governed protected areas and other effective area-based conservation measures are often available at the national level, it can take many years to incorporate these into official datasets. This suggests a complementary approach is needed based on selecting a sample of countries and using their national-scale datasets to produce more accurate metrics. However, every country added to the sample increases the costs of data collection, collation and analysis. To address this, here we present a data collection framework underpinned by a spatial prioritization algorithm, which identifies a minimum set of countries that are also representative of 10 factors that influence conservation area establishment and biodiversity patterns. We then illustrate this approach by identifying a representative set of sampling units that cover 10% of the terrestrial realm, which included areas in only 25 countries. In contrast, selecting 10% of the terrestrial realm at random included areas across a mean of 162 countries. These sampling units could be the focus of future data collation on different types of conservation area. Analysing these data could produce more rapid and accurate estimates of global conservation area coverage and ecological representativeness, complementing existing international reporting systems.
Coronavirus disease 2019 challenged the delivery of healthcare in Australia, disproportionately impacting vulnerable patients, including Aboriginal and/or Torres Strait Islander peoples and those living in remote regions. The otolaryngology service provided to remote Western Australia adapted to these barriers by altering clinical consultations to a digital model.
Methods
A review was undertaken of patients in regional Western Australia. Demographics and clinical outcomes from 20 live telehealth clinics were retrospectively reviewed and compared to 16 face-to-face clinics.
Results
The demographics of patients reviewed in both live telehealth and face-to-face clinics were similar, except for a larger proportion of Aboriginal and/or Torres Strait Islander patients utilising telehealth. The outcomes of patients reviewed through each model of care were comparable. Live video-otoscopy provided diagnostic quality images in 92 per cent of cases.
Conclusion
The findings of our review suggest that, despite its limitations, a large proportion of ENT patients may be safely assessed through a live telehealth model.
This book argues that the traditional government approach of exhorting individuals to live healthier lifestyles is not enough - action to promote public health needs to take place not just through public agencies, but also by engaging community assets and resources in their broadest sense.
Optical tracking systems typically trade off between astrometric precision and field of view. In this work, we showcase a networked approach to optical tracking using very wide field-of-view imagers that have relatively low astrometric precision on the scheduled OSIRIS-REx slingshot manoeuvre around Earth on 22 Sep 2017. As part of a trajectory designed to get OSIRIS-REx to NEO 101955 Bennu, this flyby event was viewed from 13 remote sensors spread across Australia and New Zealand to promote triangulatable observations. Each observatory in this portable network was constructed to be as lightweight and portable as possible, with hardware based off the successful design of the Desert Fireball Network. Over a 4-h collection window, we gathered 15 439 images of the night sky in the predicted direction of the OSIRIS-REx spacecraft. Using a specially developed streak detection and orbit determination data pipeline, we detected 2 090 line-of-sight observations. Our fitted orbit was determined to be within about 10 km of orbital telemetry along the observed 109 262 km length of OSIRIS-REx trajectory, and thus demonstrating the impressive capability of a networked approach to Space Surveillance and Tracking.
A total of 38 long-term care facilities within a region participated in a 3-month quality improvement initiative focused on environmental cleaning and disinfection. Significant improvements in daily and discharge cleaning were observed during the project period. Further study of the sustainability and clinical impact of this type of initiative is warranted.
“You might want to think about the guy who wrote that”, said Hedley Bull as we sat together in his office just after my return from ten months study leave in the United Kingdom, in December 1973. Hedley was, of course, referring to Des Ball's doctoral thesis. And the need to think about Des had arisen because in my absence the Defence Minister of the day, Lance Barnard, had awarded the Strategic and Defence Studies Centre (SDSC) two non-tenured posts. We now needed to think hard about candidates for them, at Research Fellow and Senior Research Fellow level.
I did not know Des very well at all in 1973. In 1970, when I first came to the ANU, and he was finishing his Ph.D., we were on very different tracks. He was a young, free, radically inclined man who had been prominent in opposing Australia's part in the Vietnam War. I was a decade older with thirteen years of service in the Australian Army behind me, including a year in Vietnam as an infantry officer, 1966–67.
When Hedley asked me early in 1970 if I would take on the Headship of the Centre, my initial reaction was to refuse. By entering academia I was expressing a desire to be free and, if need be, to be critical of national foreign and defence policies. But in taking on responsibility for the Centre, which inevitably had some dealings with the Defence Department and the armed services, I would have to tread very carefully in order to sustain the Centre's existing relations without becoming too circumscribed by them. After talking Hedley's offer over with my wife, Sally, that evening in early 1970, I changed my mind. It was probably going to cause some serious disappointment if I was to refuse to take the Centre on, and perhaps I could do the necessary balancing act and make a success of the responsibility. So I told Hedley next morning that I would accept the post. The die was cast — and it was an excellent outcome for me too in the longer term.
But my first years as Centre head were a somewhat lonely experience. The air of student and collegial disapproval of the Centre's existence was palpable on the ANU campus.