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The Whitlam Labor government (1972–75) is remembered for ushering in a new era in Indigenous affairs, with the move to "self‐determination", abandoning the longstanding insistence on "assimilation". The new government intended to deploy the Commonwealth's new legislative power established in the 1967 constitutional referendum to bring in a range of reforms, responding to consistent demands from Indigenous leaders, activists, and supporters through the previous decade. Whitlam's campaign speech promised anti‐discrimination legislation, provisions to allow Aboriginal communities to incorporate, and legislation of a system of land tenure. The government faced considerable political obstacles, ultimately curbing the ambitious reform agenda. Nevertheless, these initial efforts to conceptualise representation, recognition, and compensation laid important foundations for the current public debate about "Voice, Treaty, Truth", following the Uluru Statement from the Heart. This paper explores self‐determination through the path‐breaking work of the Woodward Aboriginal Land Rights Commission and the establishment of well‐resourced land councils as authoritative and legitimate representatives of Aboriginal people in the Northern Territory. The Whitlam government's willingness to experiment with power‐sharing in the sensitive area of land ownership provided a valuable prototype for genuine engagement with First Nations people today, as Australia contemplates the failure of the constitutional referendum around a Voice to parliament. [ABSTRACT FROM AUTHOR]

Acknowledging Australian Indigenous cultural diversity involves respecting local Indigenous knowledge and perspectives. This can be difficult for teachers who do not know about Indigenous people and their knowledge. The Differentiated Indigenous Pedagogies project evaluated digitally available information describing Indigenous in this paper, 'Indigenous' will be used when referring to First Nations and Aboriginal and Torres Strait Islander peoples, pedagogies, policies, and institutional contexts in Australia apart from references used which use other terminology. The authors acknowledge the contested nature of terminology and use the term 'Indigenous' as it is consistent with the title of the research project on which this article is based pedagogies in the Northern Territory. The purpose was to consolidate findings to increase positive intercultural actions in the wider education community. An important aspect of the project is addressing gaps in western, non-Indigenous teacher knowledge pertinent to the diversity within Indigenous language groups and regions. Through searching for available Indigenous pedagogies as a teacher might, we found information differs in description and levels of relationality. Pedagogies are presented in numerous ways which complicates teachers' cultural understandings. Common themes from search results and Indigenist educational research are used to define ways teachers can actively engage in more respectful, relational, and reconciliatory ways to develop a differentiated approach for themselves to use when working with Indigenous pedagogies. [ABSTRACT FROM AUTHOR]

Background: The burden of chronic conditions is growing in Australia with people in remote areas experiencing high rates of disease, especially kidney disease. Health care in remote areas of the Northern Territory (NT) is complicated by a mobile population, high staff turnover, poor communication between health services and complex comorbid health conditions requiring multidisciplinary care. Aim: This paper aims to describe the collaborative process between research, government and non-government health services to develop an integrated clinical decision support system to improve patient care. Methods: Building on established partnerships in the government and Aboriginal Community-Controlled Health Service (ACCHS) sectors, we developed a novel digital clinical decision support system for people at risk of developing kidney disease (due to hypertension, diabetes, cardiovascular disease) or with kidney disease. A cross-organisational and multidisciplinary Steering Committee has overseen the design, development and implementation stages. Further, the system's design and functionality were strongly informed by experts (Clinical Reference Group and Technical Working Group), health service providers, and end-user feedback through a formative evaluation. Results: We established data sharing agreements with 11 ACCHS to link patient level data with 56 government primary health services and six hospitals. Electronic Health Record (EHR) data, based on agreed criteria, is automatically and securely transferred from 15 existing EHR platforms. Through clinician-determined algorithms, the system assists clinicians to diagnose, monitor and provide guideline-based care for individuals, as well as service-level risk stratification and alerts for clinically significant events. Conclusion: Disconnected health services and separate EHRs result in information gaps and a health and safety risk, particularly for patients who access multiple health services. However, barriers to clinical data sharing between health services still exist. In this first phase, we report how robust partnerships and effective governance processes can overcome these barriers to support clinical decision making and contribute to holistic care. [ABSTRACT FROM AUTHOR]

Over the past 15 years, international climate policy and governance practice have shifted from a linear model of carbon emissions management to a circular model. Whereas the former primarily focused on reducing absolute emissions, the latter focuses on balancing emissions sources and sinks. Australia, a major global exporter of 'old' carbon resources such as coal, has actively embraced circular carbon policies and their related 'new' carbon resources such as carbon credits. Focusing on Australia's Northern Territory as a site of old and new carbon economies, where government administrators have actively sought to host carbon circulations and loops, this paper examines three interlinked cases to illustrate the interdependencies generated through circular carbon policies. Identifying how sources, sinks, and the mediation of relations between them all constitute key contemporary carbon frontiers, we conclude by calling for a research agenda that analyses 'old' and 'new' carbon economies as a co‐produced assemblage rather than as isolated zones. [ABSTRACT FROM AUTHOR]

Amid a renewed push to extract water for agriculture and mining, Indigenous advocacy in northern Australia has resulted in the introduction of a new water allocation mechanism: a reserve of water to be retained for the use and benefit of Indigenous communities. Our socio‐legal analysis of the Oolloo Water Allocation Plan shows that the Strategic Aboriginal Water Reserves carry essential hallmarks of neoliberal property relations and are founded in the modernist mode of regulating extracted water as a commodity divisible from land, amenable to partitioning and disarticulated from socio‐cultural relations. Informed by ethnographic material from the Daly River region gathered over almost a century, we describe the hydro‐social relations that are created through customary traditions and practices, water planning and licencing, and the interaction between different scales of water movement and decision‐making by both the state and Traditional Owners. The paper contributes in several ways to research that has identified ontological conflicts as central to disagreements over water and pointed to the difficulty of articulating theoretical framings of ontological difference with the practical work of water negotiations. It shows how the new Indigenous water rights discourse that coincided with the commodification of water in wider Australia shaped the way in which Aboriginal people of this region have more recently articulated their relationships to the Daly River and the limits to state recognition of those relationships. We find that the Reserve model is unable to recognize the capacity of water to connect and unify people and other beings, as well as to define boundaries between them. Within a regime that facilitates resource extraction, a limited opening has been created for Aboriginal people to benefit from this model of economic development, yet we argue that there is reason to fear that the divisions the Aboriginal Water Reserve enacts between waters and land presents significant socio‐cultural risks. [ABSTRACT FROM AUTHOR]

Introduction: Culturally safe and meaningful cognitive assessment methods for use with Aboriginal and Torres Strait Islander peoples are scarce. Concerns are raised regarding the efficacy of existing methods in cross‐cultural contexts. The Perceive, Recall, Plan and Perform (PRPP) Assessment offers a person‐centred alternative whereby cognitive strategy application is examined during performance of culturally relevant everyday tasks. This paper explores its use with Aboriginal and Torres Strait Islander peoples in Australia. Methods: A critical case study design was applied to examine the effectiveness and relevance of the PRPP Assessment with two Aboriginal Australian people in the Northern Territory of Australia. 'Ivan' and 'Jean' were each receiving occupational therapy through a rehabilitation service over a 6‐month period following acquired brain injuries. Ivan and Jean were assessed performing everyday tasks of interest and importance to them as part of routine care. A partnership approach was adopted throughout the process, and both consented to their stories being told. Results: The PRPP Assessment was able to measure changes in Ivan's and Jean's cognitive strategy use and its impact on performance of meaningful tasks. Ivan demonstrated a 46% increase in performance mastery and a 29% increase in cognitive strategy use with most improvements identified in his ability to sense information, initiate action, and continue performance. Jean demonstrated a 71% increase in performance mastery and a 32% increase in cognitive strategy use. Her greatest improvements were in the ability to recall schemes, self‐evaluate, and initiate action. Conclusion: The two critical case stories shared in this study suggest that the PRPP Assessment has emerging evidence of clinical utility when used with Aboriginal people with acquired brain impairment. The information gained revealed strengths in performance; it was effective in measuring change in cognitive strategy use, was able to inform the goal setting process, and guided intervention to support cognitive strategy use during task performance. [ABSTRACT FROM AUTHOR]

Background: Women with rheumatic heart disease (RHD) can have a lower cardiac reserve to cope with pregnancy and labour, leading to increased obstetric and cardiac risks. The Northern Territory has been repeatedly reported to have the highest prevalence of RHD in Australia, yet evidence specific to pregnancy is scarce in the literature. Aims: The primary aim of this paper is to describe the baseline characteristics and maternal outcomes of pregnant women with RHD presenting to the largest obstetrics referral hospital in the Northern Territory. The secondary aim is to evaluate the current model of care in relation to their cardiac status. Methods: A retrospective observational study was conducted over a 9.5‐year period. Demographics, cardiac, obstetrics and anaesthetics data were collected for analysis. Results: One hundred and twenty‐nine pregnancies were included for analysis. All women were identified as Aboriginal or Torres Strait Islander, and 85% were of a RHD priority of 2 or 3. Of all 28 patients who had an emergency caesarean section, only one patient was indicated for cardiac reasons. There was no maternal or neonatal death reported. Three preterm births were induced secondary to maternal concerns related to RHD cardiac decompensation. There were no major adverse neonatal outcomes, including neonatal death, intraventricular haemorrhage or respiratory distress syndrome. Multidisciplinary care was also evaluated. Conclusion: We observed a low rate of maternal and fetal morbidity and no mortality in a cohort of women with mild to severe RHD. These favourable outcomes have occurred in a multidisciplinary centre with significant experience in managing the medical and cultural complexities of this group. [ABSTRACT FROM AUTHOR]

Murrinhpatha, a non-Pama-Nyungan language from the Daly region of the Northern Territory of Australia, has an extant ergative case marker that has been reported to be very rare in use. In this paper we report on the use of ergative marking in an experimental study of sentence production. Forty-six adult L1 speakers of Murrinhpatha were asked to describe a series of unrelated bivalent scenes that were manipulated for humanness (±human) in the agent and patient roles. Our results show higher than expected ergative use given previous descriptions (more than 14% of utterances with an overt agent NP). Furthermore, we found an alternating pattern between multiple ergative markers that is correlated with variations in word order and humanness of agent and patient characters. This pattern seems consistent with the available naturalistic corpus, but the rate of ergative marking is so low that it may never have been identified. Our study both contributes to the typology of ergative case marking and demonstrates the value of experimental research for language description in unearthing properties of the grammatical system that may not be easily discernible in other types of corpora. [ABSTRACT FROM AUTHOR]

In this paper, we report on the frequency of false onsets of wet season rainfall in the case of the Northern Australian wet season and investigate the role of large‐scale tropical climate processes such as the El Niño–Southern Oscillation, Indian Ocean Dipole (IOD) and Madden–Julian Oscillation. A false onset occurs when a wet season rainfall onset criterion is met, but follow‐up rainfall is not received for weeks or months later. Our analysis of wet season rainfall data from 1950 through 2020 shows a false onset occurs, on average, between 20 and 30% of wet seasons across all of northern Australia. This increases at a regional and local level such as at Darwin, the Northern Territory (NT), and parts of Queensland's north coast to over 50%. Seasonal climate influences, such as a La Niña pattern and a negative IOD that typically expedite the wet season rainfall onset, also increase the likelihood of a false onset over northern Australia. Our analysis also finds that periods of false onsets can sometimes, but not always, coincide with periods of rapid soil moisture depletion. The false rainfall onsets that develop into flash drought can be potentially disruptive and costly and are of potential significance for agriculture and fire management in northern Australia, and in other monsoonal climates that also typically experience a slow build‐up to the seasonal monsoon. In conclusion, effective rainfall indicates that many seasons experience 'false onsets' with dry conditions after early rainfall. We propose that false onsets are a physical characteristic of the climate of northern Australia which occurs with relatively high frequency. In addition, these false onsets may sometimes co‐occur with a flash drought. [ABSTRACT FROM AUTHOR]

A palynological record from Girraween Lagoon sediments (Darwin region of the Northern Territory, Australia) provides detailed long-term insight into tropical savanna vegetation community patterns, climatic and fire relationships, through Marine Isotope Stage 4 (MIS 4: 71–57 thousand years ago, ka) and Marine Isotope Stage 3 (MIS 3: 57–29 ka). Owing to a lack of data in reconstructing northern Australian environments, this paper looks to define and describe to a greater degree the nature and scope of these stadial and interstadial stages for the region. Girraween Lagoon simultaneously provides proximal palaeoecological data for the time and region of Aboriginal people's first arrival into Australia, also encompassing the late Pleistocene continental decline of megafauna. This study provides a dataset enabling full exploration of long-term people-landscape and faunal-floral interactions. Sea levels and associated variations imposed on the transportation of moisture and heat, held implications for MIS 4 and MIS 3 monsoon strength, which was particularly consequential for Girraween regional ecology. Results reveal a prolonged transition from wooded- to grassy-savanna, into a cool drier semi-arid savanna. Increasingly episodic delivery of moisture influenced the permanency of freshwater in the landscape. • A detailed picture of vegetation in monsoonal north Australia during MIS 4 and MIS 3. • An ultimate transition from grassy eucalypt savanna into semi-arid savanna revealed. • Changed monsoonal delivery particularly consequential for regional ecology. • An indication of baseline landscapes during people's first arrival into Australia. • Assisting to place megafaunal decline within an ecological landscape. [ABSTRACT FROM AUTHOR]

This paper draws on transnational education inquiry from Guatemala to Australia. Grounded in field research on Indigenous matters, this paper offers fractal education inquiry as a proposition to interrupt the straight and spatialized notions of time that produce developmental, salvific, and progress-centric aspirations from which educational problems are generated. Set as a manifestación, the paper begins with the case of the Don Dale youth detention center in Australia's Northern Territory and moves on to define the terms of fractal inquiry to defy carceral logics. Fractal education inquiry is exemplified in the study of teacher education reforms in Guatemala. In the last section, the paper interrogates the logics of the gap, teacher competencies in diverse classrooms, and the disadvantaging of populations as reinscriptions of educational regimes attempting to tame multiple and Indigenous fractal ontologies that defy the linear temporalities ruling current schooling. [ABSTRACT FROM AUTHOR]

Objective: To describe patterns of use of the available Government-subsidised mental health services among people living in Australian residential aged care facilities. Methods: A retrospective population-based trend analysis was conducted, including all non-Indigenous people living in an Australian facility between 2012 and 2017. Adjusted incidence proportions and trends were estimated for four groups of mental health services. Results: The use of Medicare-subsidised mental health services was very low overall. The proportion of residents who accessed primary care mental health services increased from 1.3% in 2012/2013 to 2.4% in 2016/2017, while psychiatry service use increased from 1.9 to 2.3%. Claims for clinical psychology increased from 0.18 to 0.26%, and claims for a registered psychologist, occupational therapist or social worker rose from 0.45 to 1.2%. People with dementia were less likely than people without dementia to access all services aside from psychiatry services. Conclusions: Less than 3% of residents accessed funding subsidies for mental health services and people with dementia experienced pronounced barriers to service access. Mental health care is a pillar of the publicly-funded health system in Australia, and low use of these services among aged care residents indicates a need for organisational and policy changes to improve access. What is known about the topic? People living in residential aged care facilities report very high rates of mental health conditions, including depression and anxiety. What does this paper add? We demonstrate very low use (<3%) of Government-funded mental health services among people living in residential aged care facilities in Australia, with only small increases in use over time. What are the implications for practitioners? Practitioners should routinely assess the mental health needs of people living in residential aged care and refer for in-reach mental health services where needed, noting that facility staff are usually not trained for this role. [ABSTRACT FROM AUTHOR]

Background: In response to the threat of COVID-19 infection, Australia mandated a 14 day quarantine period in a designated facility for all travellers returning from overseas from late March 2020. These facilities were usually hotels, or hotel-like serviced apartments, and also included a repurposed former mining village in the Northern Territory. This paper aimed to investigate the experiences of risk of people quarantined in designated supervised facilities in Australia, which has not been systematically explored before.Methods: In this qualitative study semi-structured interviews were conducted with 58 participants quarantined between March 2020 and January 2021. Participants were returned Australian citizens and residents who were required to undergo mandatory supervised quarantine for COVID-19. Interviews were conducted using video teleconferencing (via Zoom), transcribed and coded, then analysed thematically.Results: While participants generally supported the concept of quarantine to protect the Australian public, they were critical of elements of it where they felt exposed to risk (COVID-related or not). They also described instances where infection control within the system seemed inadequate. For some, particularly those quarantined with small children, they reported that the facilities were inadequate or inappropriate for health and wellbeing. Using thematic analysis, three major themes were identified that related to problems in the existing system: perception of being subjected to high risk through lax standards of COVID protection in the quarantine process; risks to the community identified in quarantine; and risk in non-hotel managed quarantine facilities.Conclusions: There are systemic issues with infection control in hotel quarantine, which can be further undermined by individual non-compliance. Risks to safety for those in quarantine can be reduced, both in terms of infection control within hotel quarantine and, in the case of the Northern Territory facility, timely in-person medical care as needed for non-COVID conditions. Systems of infection control need ongoing review to ensure that people entering quarantine are protected from known risks of infection at every stage. Medical services in quarantine facilities should be examined to ensure timely and appropriate non-COVID medical services are available. [ABSTRACT FROM AUTHOR]

This paper explores strategies that support Aboriginal parents' mastery of evidence-based early learning strategies, and their impact on young Aboriginal children's learning outcomes. The three-year study followed 32 parent-child dyads attending Families as First Teachers (FaFT) playgroups in two remote Northern Territory communities in 2015–2017. Trained FaFT staff provided parents with coaching in the use of Conversational Reading—an evidence-based shared reading strategy in first language—at FaFT. The study examined patterns of parent mastery across the three-year study period, the relationship between levels of parent-child participation at FaFT (program dosage) and parent mastery, and the impact of parent mastery of Conversational Reading on young Aboriginal children's language and learning outcomes. By including measures of parent-child participation and parent mastery of key program strategies at three time points, the study also provides a picture of the fidelity of program implementation across the study period. The findings indicate that parents' mastery of strategies (and thus the fidelity of program implementation) increased over time in line with the program dosage parents received. Higher levels of parent-child participation at FaFT and parent mastery of strategies at the end of the program were positively associated with children's language and learning outcomes. This study demonstrates that the provision of coaching at playgroup is an effective way to build parent capacity in the implementation of evidence-based early learning strategies, and that supporting parent mastery of teaching strategies has the potential to improve the learning outcomes of young children in remote Aboriginal communities. [ABSTRACT FROM AUTHOR]

Although notions of resistance are not new in rock art research concerning cross‐cultural colonial encounters, this study shows how multiple dimensions of Indigenous resistance can be explored through a multidisciplinary analysis of rock art in northern Australia. The study explores the intersections between introduced "Western" and pre‐existing "traditional" motifs in rock art near Yingalarri waterhole in Wardaman Country, Northern Territory, analysing the visual conventions and superimpositions with an eye towards Wardaman epistemological engagements with rock art and experiences of colonial occupation. These intersections reveal further dimensions of Wardaman responses to colonial occupation, including the negotiation of shifting inter‐regional relationships and engagements with Country as well as the continued emphasis on inherited artistic practices. The study also explores the continuing role that rock art, and its interpretation, plays in Indigenous colonial resistance. Wardaman discussions of introduced motifs documented during the 1988–1991 Earthwatch project brought the paintings out of the past, giving them contemporary significance via kinship connections and narratives of survival that challenge colonial efforts to erase Indigenous experiences of early colonial contact and occupation. The paper contributes to archaeological understandings of inter‐regional connections between northern Australian rock art regions and rock art production and discussion as a means for Aboriginal resistance and remembrance after the arrival of Europeans. [ABSTRACT FROM AUTHOR]

Purpose: This paper aims to determine whether a single session of a motivational interview (MI) reduces smoking relapse amongst people released from smoke-free prisons. Design/methodology/approach: This study sought to recruit 824 ex-smokers from 2 smoke-free prisons in the Northern Territory, Australia. Participants were randomised to receive either one session (45–60 min) face-to-face MI intervention 4–6 weeks prior to release or usual care (UC) without smoking advice. The primary outcome was continuous smoking abstinence verified by exhaled carbon monoxide test (<5 ppm) at three months post-release. Secondary outcomes included seven-day point-prevalence, time to the first cigarette and the daily number of cigarettes smoked after release. Findings: From April 2017 to March 2018, a total of 557 participants were randomised to receive the MI (n = 266) or UC (n = 291), with 75% and 77% being followed up, respectively. There was no significant between-group difference in continuous abstinence (MI 8.6% vs UC 7.4%, risk ratio = 1.16, 95%CI 0.67∼2.03). Of all participants, 66.9% relapsed on the day of release and 90.2% relapsed within three months. On average, participants in the MI group smoked one less cigarette daily than those in the UC within the three months after release (p < 0.01). Research limitations/implications: A single-session of MI is insufficient to reduce relapse after release from a smoke-free prison. However, prison release remains an appealing time window to build on the public health benefit of smoke-free prisons. Further research is needed to develop both pre- and post-release interventions that provide continuity of care for relapse prevention. Originality/value: This study is the first Australian randomised controlled trial to evaluate a pre-release MI intervention on smoking relapse prevention amongst people released from smoke-free prisons. [ABSTRACT FROM AUTHOR]

Lethal jellyfish envenoming is a very rare event. Two illustrative cases of fatalities following envenomation from the multi‐tentacled box jellyfish, Chironex fleckeri, are reported that involved a six‐year‐old boy and a three‐year‐old girl, both of whom had been playing in shallow beach waters in remote Northern Territory communities (Australia). A recommended approach to autopsy in suspected cases is described, which should include examination of the clothing and skin surfaces for the fine tentacles of Chironex fleckeri. In addition, the combined length and maximum width of tentacle marks should be measured/calculated and collection of unfixed tentacles with adhesive tape onto a glass slide should be undertaken to check for nematocysts. Such rare cases show that children are at higher risk of a lethal outcome, particularly if they are resident in remote coastal tropical communities. [ABSTRACT FROM AUTHOR]

Introduction: Cancer patients in Australia's Northern Territory (NT) face unique challenges to accessing cancer-related community and allied health services (referred here as 'health services'). This is in part due to the NT's unique geographic, socioeconomic and demographic profile. This paper describes the use of health services by cancer patients in the NT.Methods: Adult cancer patients attending appointments at a cancer centre in Darwin, NT and who were diagnosed within the past five years were invited to participate in face-to-face interviews about their use of allied and community health services. A descriptive analysis of health services utilization was conducted.Results: Of the 76 participants interviewed, 63% identified as non-Indigenous, 53% female and 45% lived in very remote areas. Mean age at interview was 58.7 years (SD 13.2). Overall, 82% of participants utilized at least one health service since their cancer diagnosis. All Indigenous participants used at least one service, while 28% of non-Indigenous participants did not use any health service. The services most frequently used by participants were community services (42%) and information sources (40%).Conclusion: The findings from this study suggest there is variation in the type of community and allied health services used by NT cancer patients across clinical and demographic groups (including Indigenous status). Further qualitative enquiry is needed to better understand this variation, which may reflect differences in service preference, accessibility, health literacy of patients or patient engagement. Such knowledge may inform service delivery improvements to better support cancer patients through their cancer care pathway. [ABSTRACT FROM AUTHOR]

Fire has a long history in Australia and is a key driver of vegetation dynamics in the tropical savanna ecosystems that cover one quarter of the country. Fire reconstructions are required to understand ecosystem dynamics over the long term but these data are lacking for the extensive savannas of northern Australia. This paper presents a multiproxy palaeofire record for Marura sinkhole in eastern Arnhem Land, Northern Territory, Australia. The record is constructed by combining optical methods (counts and morphology of macroscopic and microscopic charcoal particles) and chemical methods (quantification of abundance and stable isotope composition of pyrogenic carbon by hydrogen pyrolysis). This novel combination of measurements enables the generation of a record of relative fire intensity to investigate the interplay between natural and anthropogenic influences. The Marura palaeofire record comprises three main phases: 4600–2800 cal BP, 2800–900 cal BP and 900 cal BP to present. Highest fire incidence occurs at ~4600–4000 cal BP, coinciding with regional records of high effective precipitation, and all fire proxies decline from that time to the present. 2800–900 cal BP is characterised by variable fire intensities and aligns with archaeological evidence of occupation at nearby Blue Mud Bay. All fire proxies decline significantly after 900 cal BP. The combination of charcoal and pyrogenic carbon measures is a promising proxy for relative fire intensity in sedimentary records and a useful tool for investigating potential anthropogenic fire regimes. [ABSTRACT FROM AUTHOR]

Background: Chronic hepatitis B (CHB) is endemic in the Aboriginal population of Australia's Northern Territory (NT). However, many people's hepatitis B virus (HBV) status remains unknown. Objective: 1. To maximise the utility of existing HBV test and vaccination data in the NT by creating a linked dataset and computerised algorithmic coding. 2. To undertake rigorous quality assurance processes to establish feasibility of using the linked dataset and computerised algorithmic coding for individual care for people living with CHB. Methods: Step 1: We used deterministic data linkage to merge information from three separate patient databases. HBV testing and vaccination data from 2008–2016 was linked and extracted for 19,314 people from 21 remote Aboriginal communities in the Top End of the NT. Step 2: A computerised algorithm was developed to allocate one of ten HBV codes to each individual. Step 3: A quality assurance process was undertaken by a clinician, using standardised processes, manually reviewing all three databases, for a subset of 5,293 Aboriginal people from five communities to check the accuracy of each allocated code. Results: The process of data linking individuals was highly accurate at 99.9%. The quality assurance process detected an overall error rate of 17.7% on the HBV code generated by the computerised algorithm. Errors occurred in source documentation, primarily from the historical upload of paper-based records to electronic health records. An overall HBV prevalence of 2.6% in five communities was found, which included ten cases of CHB who were previously unaware of infection and not engaged in care. Conclusions: Data linkage of individuals was highly accurate. Data quality issues and poor sensitivity in the codes produced by the computerised algorithm were uncovered in the quality assurance process. By systematically, manually reviewing all available data we were able to allocate a HBV status to 91% of the study population. [ABSTRACT FROM AUTHOR]

In the past, population growth in Australia's Northern Territory, as in other peripheral parts of high-income countries, has been driven by internal labour migration and migration from outside of Australia. These have been contributing to the high population turnover experienced in peripheral areas. Since 2010, the Northern Territory has experienced low (and even negative) population growth, and public policy is currently focused on migration as a lever to reverse this trend. However, the extent to which the characteristics of migrants influence the potential for longer-term population growth is poorly understood. This paper uses a new method to analyse the contributions of various types of migrants to both population turnover and retention. Two major sets of findings emerge: First, the significance of separating newer in-migrants from longer-term residents when analysing migration patterns; and secondly, the contribution of age, gender, Indigenous status, international origin, wages and industry of employment to the Northern Territory's population turnover. The research suggests that current forms of migration favour people who are likely to stay for only short periods, and have high wage demands. The main policy inference is that long-term population growth will likely not eventuate unless new forms of migration can be stimulated. [ABSTRACT FROM AUTHOR]

Objective: The need for more Remote Area Nurses in the Northern Territory is clear. This paper investigates the perspectives of Remote Area Nurse workforce issues among multiple stakeholders. The aim is to identify how Remote Area Nurse staffing issues are perceived by clinic managers, Remote Area Nurses themselves, Aboriginal colleagues and community members in seven remote communities in the Northern Territory. Design: This is a qualitative study that uses interviews and focus groups to identify key messages of local stakeholders about Remote Area Nurse workforce issues. A content analysis was used for data analysis. Setting: Seven diverse remote Aboriginal communities in the Northern Territory with government‐run health clinics were visited. Participants: Non‐random sampling techniques were used to target staff at the clinics at the time of field work. Staff and community members, who agreed to participate, were interviewed either individually or in groups. Interviews were conducted with 5 Managers, 29 Remote Area Nurses, 12 Aboriginal staff (some clinics did not have Aboriginal staff) and 56 community residents. Twelve focus groups were conducted with community members. Results: Content analysis revealed that participants thought having the "right" nurse was more important than having more nurses. Participants highlighted the need for Remote Area Nurses to have advanced clinical and cultural skills. While managers and, to a lesser extent, Remote Area Nurses prioritised clinical skills, Aboriginal staff and community residents prioritised cultural skills. Conclusions: Participants identified the importance of clinical and cultural skills and reiterated that getting the "right" Remote Area Nurse was more important than simply recruiting more nurses. Thus, retention strategies need to be more targeted and cultural skills prioritised in recruitment. [ABSTRACT FROM AUTHOR]

Objectives: To determine national service usage for initial and subsequent outpatient consultations with a consultant physician and any variation in service-use patterns between states and territories relative to population. Methods: An analysis was conducted of consultant physician Medicare claims data from the year 2014 for an initial (item 110) and subsequent consultation (item 116) and, for patients with multiple morbidities, initial management planning (item 132) and review (133). The analysis included 12 medical specialties representative of common adult non-surgical medical care (cardiology, endocrinology, gastroenterology, general medicine, geriatric medicine, haematology, immunology and allergy, medical oncology, nephrology, neurology, respiratory medicine and rheumatology). Main outcome measures were per-capita service use by medical speciality and by state and territory and ratio of subsequent consultations to initial consultations by medical speciality and by state and territory. Results: There was marked variation in per-capita consultant physician service use across the states and territories, tending higher than average in New South Wales and Victoria, and lower than average in the Northern Territory. There was variation between and within specialties across states and territories in the ratio of subsequent consultations to initial consultations. Conclusion: Significant per-capita variation in consultant physician utilisation is occurring across Australia. Future studies should explore the variation in greater detail to discern whether workforce issues, access or economic barriers to care, or the possibility of over- or under-servicing in certain geographic areas is leading to this variation. What is known about the topic?: There are nearly 11 million initial and subsequent consultant physician consultations billed to Medicare per year, incurring nearly A$850 million in Medicare benefits. Little attention has been paid to per-capita variation in rates of consultant physician service use across states and territories. What does this paper add?: There is marked variation in per-capita consultant physician service use across different states and territories both within and between specialties. What are the implications for practitioners?: Variation in service use may be due to limitations in the healthcare workforce, access or economic barriers, or systematic over- or under-servicing. The clinical appropriateness of repeated follow-up consultations is unclear. [ABSTRACT FROM AUTHOR]

The post-breeding migration of an adult male little eagle (Hieraaetus morphnoides) was followed from south-eastern Australia to the Northern Territory using a GPS satellite transmitter. The bird bred in open woodland habitat on the edge of the city of Canberra, Australian Capital Territory (ACT), before it flew more than 3300 km in 18 days, to winter in an area of eucalypt savannah in the Northern Territory. It remained there for 59 days, within a range of ~30 km2, after which the last signal was transmitted. The bird was subsequently resighted back in its ACT territory at the end of winter, thus completing a return migration. This is the first confirmation of post-breeding migration for the species. The little eagle (Hieraaetus morphnoides) is listed as Vulnerable in the Australian Capital Territory, but the movements and ranges of birds breeding in the ACT are unknown. An adult male bird was tracked by GPS-satellite transmitter between the ACT and the Northern Territory. This paper gives the first confirmation that little eagles can migrate between southern and northern Australia and conservation of the species needs to be of nation-wide consideration. Photo by Stuart Rae. [ABSTRACT FROM AUTHOR]

While research has provided a significant picture of the lived experiences of transgender and sex/gender diverse (TSGD) Australians, it remains incomplete because population samples rarely include TSGD people from Australia's Northern Territory. The Northern Territory is twice the size of France but is populated by only 210,000 people. The territory's environmental and demographic features make it very distinct from Australia's other six states and mainland territory. Most notably, it possesses a "frontier" mentality and is considered to be one of Australia's most homophobic states and territories. This paper publishes the results of an online survey conducted as part of an ongoing research project into the health needs of TSGD individuals, such as availability of medical and support services that specialize in, and are "friendly" to, TSGD people, especially in remote areas of the territory, colloquially referred to as out bush. [ABSTRACT FROM PUBLISHER]

There is a growing awareness that some children transition into formal schooling more readily than others. Compelling evidence indicates that children familiar with the skills and knowledge associated with the dominant practices of literacy teaching in schools have an advantage. While families play a pivotal role in children's early literacy development, there is often a disjuncture between the literacy experiences of children from minority backgrounds and those they encounter on entry into formal schooling. Quality teaching in the prior-to-school setting becomes increasingly important for these children. This paper first examines what research and the literature reveal about successful transitioning of children into formal schooling, successful early literacy practices, and the importance of a quality early childhood education. This sets the backdrop for a description of an early literacy initiative, which took place in six remote Aboriginal communities in the Northern Territory, Australia, where all the early childhood educators were under- or un-qualified. Significant aspects emerging from the initiative were: the engagement of the Elders in the community for the implementation of the initiative; the 'two-way' learning between the non-Indigenous University mentor and the Aboriginal early childhood educator in each community; the necessity for making Indigenous ways of knowing, being and doing a key pillar of the children's literacy learning; the bilingual nature of the initiative; and the University mentors gradually stepping further and further away, moving from teacher, to coach, to mentor, as the skills and confidence of the early childhood educators developed. [ABSTRACT FROM AUTHOR]

This paper provides a robust estimate of the total natural denudation rate for the area surrounding the Ranger uranium mine in the Northern Territory, Australia. This rate will be used to assess whether the final rehabilitated landform of the Ranger mine will denude at the natural rate after the landform has stabilized. The approach adopted was to compile and analyze all existing estimates of the total denudation rate. (including both physical erosion rates and solution losses) from areas near the mine site. Where available, solution losses are based on local measurements. These were used to adjust estimates for other local sites, where only physical erosion rates are available. Adjustments were based on a global relationship between physical erosion and solution loss rates. The adjusted total denudation rate estimates were shown to have no statistically significant relationship with the time over which they have been estimated (the averaging time, maximum period about 59,000 years), which suggests that they conform to mass flux equilibrium. This form of equilibrium implies an equivalence between inputs and outputs of sediment and solutes for which there is some evidence. Because the denudation rates are independent of averaging times, the long-term average total natural denudation rate can be calculated from all of the data, giving a value of 0.075 ± 0.013 mm year−1 (75 mm 1000 years−1, 75 m Ma−1). This value is almost twice the previously quoted rate of 0.04 ± 0.03 mm year−1 (40 ± 30 mm 1000 years−1), which was calculated from a mixture of physical erosion rates and the total denudation rates including some from large river catchments. The derivation of a revised denudation rate provides confidence that the revised value, based on all available data, is representative of the region; and is therefore an appropriate value with which to assess the success of the rehabilitation of a post-mining landform. • The natural denudation rate near the ranger mine in Australia is estimated. • The estimation is based on date from the past 65,000 years. • The estimated rate will be used in assessment of the rehabilitated mine site. • The new estimate is about twice the previous estimate. [ABSTRACT FROM AUTHOR]

Background: In Australia, health services are seeking innovative ways to utilize data stored in health information systems to report on, and improve, health care quality and health system performance for Aboriginal Australians. However, there is little research about the use of health information systems in the context of Aboriginal health promotion. In 2008, the Northern Territory's publicly funded healthcare system introduced the quality improvement program planning system (QIPPS) as the centralized online system for recording information about health promotion programs. The purpose of this study was to explore the potential for utilizing data stored in QIPPS to report on quality of Aboriginal health promotion, using chronic disease prevention programs as exemplars. We identify the potential benefits and limitations of health information systems for enhancing Aboriginal health promotion.Methods: A retrospective audit was undertaken on a sample of health promotion projects delivered between 2013 and 2016. A validated, paper-based audit tool was used to extract information stored in the QIPPS online system and report on Aboriginal health promotion quality. Simple frequency counts were calculated for dichotomous and categorical items. Text was extracted and thematically analyzed to describe community participation processes and strategies used in Aboriginal health promotion.Results: 39 Aboriginal health promotion projects were included in the analysis. 34/39 projects recorded information pertaining to the health promotion planning phases, such as statements of project goals, 'needs assessment' findings, and processes for consulting Aboriginal people in the community. Evaluation findings were reported in approximately one third of projects and mostly limited to a recording of numbers of participants. For almost half of the projects analyzed, community participation strategies were not recorded.Conclusion: This is the first Australian study to shed light on the feasibility of utilizing data stored in a purposefully designed health promotion information system. Data availability and quality were limiting factors for reporting on Aboriginal health promotion quality. Based on our learnings of QIPPS, strategies to improve the quality and accuracy of data entry together with the use of quality improvement approaches are needed to reap the potential benefits of future health promotion information systems. [ABSTRACT FROM AUTHOR]

Objective: Periodontal disease is associated with chronic kidney disease (CKD), with both conditions being highly prevalent among Australia's Aboriginal population. This paper reflects on the lessons learned following implementation of a periodontal intervention in the Central Australian region of the Northern Territory among Aboriginal adults with CKD. Results: Between Oct 2016 and May 2019, research staff recruited 102 eligible participants. This was far below the anticipated recruitment rate. The challenges faced, and lessons learned, were conceptualised into five specific domains. These included: (1) insufficient engagement with the Aboriginal community and Aboriginal community-controlled organisations; (2) an under-appreciation of the existing and competing patient commitments with respect to general health and wellbeing, and medical treatment to enable all study commitments; (3) most study staff employed from outside the region; (4) potential participants not having the required number of teeth; (5) invasive intervention that involved travel to, and time at, a dental clinic. A more feasible research model, which addresses the divergent needs of participants, communities and service partners is required. This type of approach, with sufficient time and resourcing to ensure ongoing engagement, partnership and collaboration in co-design throughout the conduct of research, challenges current models of competitive, national research funding. [ABSTRACT FROM AUTHOR]

Orogenic gold deposits are commonly associated with a small alteration and geochemical footprint that often hinders the exploration process. In the Granites-Tanami Gold Province; however, we demonstrate that sulfur isotope analyses represent a powerful exploration tool for orogenic gold mineralization. The Granites-Tanami Gold Province, situated in the Northern Territory (Australia), hosts numerous gold occurrences including the world-class Callie deposit (c. 14.2 Moz Au). In this paper, we use sulfur isotopes to: 1) characterize the δ34S signature of the sulfides associated with gold mineralization in order to assist with exploration in the Granites-Tanami Gold Province, and 2) monitor the temporal fluid evolution of the Callie deposit. We present in-situ sulfur isotope analyses of sulfides associated to gold mineralization, diagenetic sulfides, and sulfides associated to a barren, post-mineralization hydrothermal event. Our results show that the sulfides associated with mineralization yield δ34S values that range from +4‰ to +11.5‰ (n = 114), the diagenetic sulfides yield δ34S values that range from +0.0‰ to +1.7‰ (n = 41) and the post-mineralization sulfides yield δ34S values that range from +2.3‰ to +3.3‰ (n = 20). The range of δ34S values obtained from mineralized samples at the Callie deposit coincides with δ34S values reported in sulfides associated to other orogenic gold deposits of the Granites-Tanami Gold Province. The mineralization-related δ34S signature in the Granites-Tanami Gold Province is distinct from both diagenetic and post-mineralization sulfides providing a unique isotopic signature for the sulfides associated to gold mineralization. Therefore, we propose that the application of routine sulfur isotope analysis may represent a valuable tool for mineral exploration in the area. We also report a temporal shift toward lighter δ34S values from various sulfides associated to the stratabound mineralization at the Callie deposit. We interpret the shift in δ34S values as the expression of a progressive increase in the oxygen fugacity of the ore fluid resulting from progressive alteration of the host-rock. The diagram displays the δ34S values from this study and previous studies for the different sulfide populations in the Granites-Tanami Gold Province. The data for The Granites goldfields are from Adams, 1997. The data for the Tanami Goldfields are from Tunks 1996; the heavy δ34S values (31.7 to 37.1‰) are attributed to pyrite from thrust faults interpreted as a pre-mineralization event. The historical dataset includes analysis collected from both conventional and laser ablation analysis. Unlabelled Image • Sulfur isotopes analyses on Au-bearing and barren sulfides from the Tanami district • Common sulfur reservoir for the deposits of the Granites-Tanami Gold Province • In-situ sulfur isotopes used to distinguish Au-bearing from barren sulfide species. • Au-bearing sulfides show δ34S temporal shift toward lighter values. • δ34S temporal shift highlights a progressive increase in the mineralizing fluid fO 2. [ABSTRACT FROM AUTHOR]