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Theoretical discussions of evidence-based policy place primary importance on facts and values. However, there are situations in which policy must be made in the absence of facts and values. In this article, one such situation is investigated: the emergence of electronic cigarettes. This article reviews attempts to regulate e-cigarettes in Australia, a country with a history of international leadership on regulating tobacco cigarettes. The article concludes that Australian governments have not been following an evidence-based approach and, further, it suggests that these governments are instead content to minimise political risk by either taking no action or by adapting existing legislation.

The purpose of this study was to field-test several conferencing technologies in regional schools to determine whether the technologies are appropriate for the needs of the university supervisor, trainee teachers and supervising teachers in practicum placements. The study also explored the potential of technology for other related purposes. Four technologies (Pocket camcorder, m-View, Skype, Adobe Connect) were trialed. Pre-service teachers reflected on the conferencing experience and university supervisors compared the remote supervision using the technologies with traditional on-site supervision. Findings revealed that Pocket camcorders gave good video quality and were very portable. Not designed for synchronous conferencing, they can however be used for asynchronous sharing though their limited field of vision and poor sound quality were constraints. For the m-View, picture and sound were limited by the quality and capabilities of the particular mobile phone used, and by the capacity of the 3G network. Skype and Adobe Connect were found to be the most appropriate applications. Both technologies are cross platform, offer good audio and video resolution. However supervisors and users need to be aware of limitations. The platforms require good broadband connectivity, and are dependent on choice of microphone and external webcam and the placement of these input devices within the classroom. Implications are drawn for professional experience and pedagogy. (Contains 2 tables and 2 figures.)

This research paper reports the findings from an international survey of fieldwork practitioners on their use of technology to enhance fieldwork teaching and learning. It was found that there was high information technology usage before and after time in the field, but some were also using portable devices such as smartphones and global positioning system whilst out in the field. The main pedagogic reasons cited for the use of technology were the need for efficient data processing and to develop students' technological skills. The influencing factors and barriers to the use of technology as well as the importance of emerging technologies are discussed.

Background: Schools are an ideal setting in which to involve children in research. Yet for investigators wishing to work in these settings, there are few method papers providing insights into working efficiently in this setting. Objective: The aim of this paper is to describe the five strategies used to increase response rates, data quality and quantity in the TRansport Environment and Kids (TREK) project. Setting: The TREK project examined the association between neighbourhood urban design and active transport in Grade 5-7 school children (n = 1480) attending 25 primary schools in metropolitan Perth, Western Australia during 2007. Method: Children completed several survey components during school time (i.e. questionnaire, mapping activity, travel diary and anthropometric measurements) and at home (i.e. pedometer study, parent questionnaire). Results: Overall, 69.4% of schools and 56.6% of children agreed to participate in the study and, of these, 89.9% returned a completed travel diary, 97.8% returned their pedometer and 88.8% of parents returned their questionnaire. These return rates are superior to similar studies. Five strategies appeared important: (1) building positive relationships with key school personnel; (2) child-centred approaches to survey development; (3) comprehensive classroom management techniques to standardize and optimize group sessions; (4) extensive follow-up procedures for collecting survey items; and (5) a specially designed data management/monitoring system. Conclusion: Sharing methodological approaches for obtaining high-quality data will ensure research opportunities within schools are maximized. These methodological issues have implications for planning, budgeting and implementing future research. (Contains 2 figures and 1 table.)

This paper considers the design and development of CALL materials with the aim of achieving an optimal mix between in-class and out-of-class learning in the context of teaching Italian at an Australian university. The authors discuss three projects in relation to the following themes: (a) conceptions of the in-class/out-of-class relationship, (b) pedagogical motivations for out-of-class CALL materials development, (c) the nature of the language-learning materials required for different technologies, and (d) the concomitant demands on the language-teacher-developer. The three projects are: (a) "Italia oggi," a videodisc-based facility for self-access work with television news; (b) the Italian SMS project, a mobile learning project using bulk text messaging; and (c) "La mensa," a class blog designed to support reading and writing practice. The paper concludes that our conceptions of CALL materials development--and the role of the teacher-as-materials-developer--need to be revised and extended in line with the diverse range of technologies currently in use. This has major implications for teacher education and learner training and CALL. (Contains 2 notes.)

Purpose: This paper seeks to provide details of Griffith University's (GU) approach for sustainably dealing with electronic waste (e-waste) and the benefits of using the e-waste programme as a valuable educational case study for ESD. Design/methodology/approach: The e-waste programme is explained with reference to key resources and literature, so as to provide a practical approach for any organisation looking to sustainably manage its e-waste stream. The rationale and structure for the e-waste educational case study is also presented so that other academics may use it as a template or study aid within their own teaching. Findings: The paper provides references to web resources and GU internal resources so that readers can access valuable information, and to show how those resources can be applied to their own organisation. The paper also identifies and discusses the factors which may hinder the implementation of a sustainable e-waste programme. Research limitations/implications: The paper has been written to be as succinct and as accessible to readers as possible and, as such, has not presented each of the aspects of the sustainable e-waste programme in depth. This information, for those requiring more detail, is accessible through the resources presented. Practical implications: The paper is a useful source on how e-wastes can be sustainably managed by Universities and presents a modelled approach. Originality/value: This paper highlights an individual response to an increasingly complex and potentially polluting and unsustainable waste stream. It provides a practical institution-wide approach for dealing with e-wastes; and in particular, raises the awareness of the issues associated with e-waste to those institutions who may not be aware. (Contains 2 figures.)

This article aims to report initial findings about networking in organizational settings in Australia through the use of enterprise social software. According to Gray and Honick (2008), enterprise social software (also known as Enterprise 2.0) is a term describing social software used in businesses and enterprises. It includes such tools as blogging, people search, social network analysis, tagging, wikis, and collaboration/groupware. In this article, the authors define social networking Web sites as those enterprise social software used in company intranets and other software and communication platforms. Their goal is tripartite: First, briefly introduce one relevant theory of how knowledge can be created and disseminated. Second, in light of that theory, they review modern types of enterprise tools such as blogs, wikis, and podcasts for networking and knowledge creating/sharing in organizations. And third, they summarize the major preliminary findings from 12 interviews with professional services firms KPMG and Accenture and the National Australia Bank (NAB), one of the largest banks in Australia. Their interviews were conducted with IT analysts, IT consultants, and risk managers, all of whom had experience using these networking Web sites. In sum, their preliminary interview results indicate that the use of enterprise social software in organizations facilitates knowledge collection, discovery, building, and sharing and, most importantly, points to a positive cyclic model of knowledge creation.

When university academics implement changes in learning, such as introducing blended learning, it is conventional practice to examine and evaluate the impact of the resulting curriculum reform. Judging the worth and impact of an educational development is a complex task involving subtle differences in learning. Qualitative methods to explore these deep processes in learning include using interviews, observations and open-ended questionnaires targeting all stakeholders in the process, such as students, teachers, administration and technical staff. These evaluation tasks generate a mass of raw data that many faculty members in higher education are unaccustomed to analyzing. This article provides a framework using radar charts adapted from the field of organizational development. A modified six-zone radar chart was used to assess the extent of blended learning in order to compare changes in the learning environment. Data collection included interviews, classroom observations and electronic records generated during educational delivery over a 1-year period of time. A purposeful sample of online course data was collected by three participating universities in South Africa, Australia, and the United States. (Contains 2 figures and 2 tables.)

This article reports a study of parents' management of the education of primary school-aged children in their care in remote and rural locations of Western Australia. It presents a theory of the ways in which these parents, in the role of home tutors, "manage" the schooling of their children in a distance education regime in isolated settings. The home tutors in this study were mothers in families isolated by physical distance from centres in Western Australia, which usually provide educational, medical, financial, and retail services. In this environment, at the time of data collection, schooling was supported by print, that is, "sets" of learning materials, and by a regular schedule of interactive lessons through Schools of the Air when atmospheric conditions permitted. The conditions of outback Western Australia "present some of the worst conditions for use of electronic equipment" (Tomlinson, "Schooling in rural Western Australia: The ministerial review of schooling in rural Western Australia." Perth, Australia: Education Department of Western Australia, 1994, p. 91). Moreover, the nature of station life on isolated sheep or cattle properties (stations) is such that mothers frequently have multiple and sometimes conflicting roles (that is, cook, housekeeper, station hand, business partner, accountant, first aid officer, wife, mother, and teacher). This qualitative study was concerned with how parents "manage" their schoolroom work as "home tutors," using grounded theory techniques for gathering and analysing data. The term "manage" comes from the theoretical framework of symbolic interaction (Blumer, "Symbolic interactionism: Perspective and method." Englewood Cliffs, NJ: Prentice Hall, 1969), and in this article refers specifically to the ways in which the home tutors juggle their multiple roles. (Contains 1 table.)

The purpose of this study was to examine the extent to which physical activity among adolescent female friends is interdependent. The participants were 318 adolescent girls with a mean age of 16.0 years (range: 15-18 years). Pedometry was used to assess physical activity over 4 days. The relationship between an individual girl and her first-nominated reciprocal friend's physical activity level was moderate (r = 0.45, 90% confidence interval = 0.31, 0.56), when the friendship was nonreciprocal it was trivial (r = -0.06, 90% confidence interval = -0.36. .25). Friends' physical activity levels explained between 27% and 32% of an individual's pedometer-determined physical activity level. Reciprocity of friendship is an important variable to consider when understanding the relationship between adolescent female friends' physical activity. When friendships are reciprocal, there is a stronger relationship between friends' physical activity. (Contains 2 figures and 3 tables.)

Podcasting facilitates the timely delivery of digital audio content such as MP3 files to a user's desktop, as it becomes available. The authors believe it holds tremendous potential as a low-cost, low-barrier tool for mobile ubiquitous learning, given the large uptake of portable music players. This paper explores some of the possibilities for enhancing university teaching and learning, although the intention is not to replace traditional, face-to-face classes. In particular, the paper describes a project involving an investigation into podcasting preclass listening material as a strategy for addressing students' preconceptions and anxiety to better prepare them for effective face-to-face learning. A group of undergraduate students studying a first year information technology subject at an Australian university were the main participants in a survey and focus group used to gather data to guide plans for a trial implementation planned for the following semester.

Focuses on the uses of the Wiz Electronic Translator, a plastic linguistic gadget that promised more than it was capable of delivering. (Author/CK)

This study aimed to characterise the level of access to magnetic resonance imaging (MRI) in Australian hospitals for patients with MR-conditional and non-MR-conditional cardiac implantable electronic devices (CIED), and to identify any barriers impeding this access. All Australian Tertiary Referral Public Hospitals (n=38) were surveyed with a mixed qualitative and quantitative questionnaire. Provision of MRI to patients with MR-conditional and non-MR-conditional CIEDs; patient monitoring strategies during scan and personnel in attendance; barriers impeding MRI access. Of the 35 (92%) hospitals that completed the survey, a majority (85.7%) scan MR-conditional CIEDs, while a minority (8.6%) scan non-MR-conditional CIEDs. MR-conditional device scanning is often limited to non-pacing dependent patients, excluding implantable cardioverter–defibrillators. In total, 21% of sites exclude thoracic MR scans for CIED patients. Although most centres scan on 1.5 Tesla (T) machines (59%), 10% scan at 3T and 31% scan at both strengths. Sites vary in patient monitoring strategies and personnel in attendance; 80% require staff with Advanced Cardiac Life Support to be present. Barriers to service expansion include an absence of national guidelines, formal training, and logistical device support. Most surveyed Australian hospitals offer MRI for patients with MR-conditional CIEDs, however many still have exclusions for particular patient groups or scan requests. Only three surveyed sites offer MRI for patients with non-MR-conditional CIEDs in Australia. A national effort is needed to address the identified barriers including the development of national guidelines, formal training, and logistical support. [ABSTRACT FROM AUTHOR]

Emissions from road traffic, power generation and industry were substantially reduced during pandemic lockdown periods globally. Thus, we analysed reductions in traffic-related air pollution in Australian capital cities during March–April 2020 and then modelled the mortality benefits that could be realised if similar reductions were sustained by structural policy interventions. Satellite, air pollution monitor and land use observations were used to estimate ground-level nitrogen dioxide (NO 2) concentrations in all Australian capital cities during: (a) a typical year with no prolonged air pollution events; (b) a hypothetical sustained reduction in NO 2 equivalent to the COVID-19 lockdowns. We use the WHO recommended NO 2 exposure-response coefficient for mortality (1.023, 95 % CI: 1.008–1.037, per 10 μg/m3 annual average) to assess gains in life expectancy and population-wide years of life from reduced exposure to traffic-related air pollution. We attribute 1.1 % of deaths to anthropogenic NO 2 exposures in Australian cities, corresponding to a total of 13,340 years of life lost annually. Although COVID-19-related reductions in NO 2 varied widely between Australian cities during April 2020, equivalent and sustained reductions in NO 2 emissions could reduce NO 2 -attributable deaths by 27 %, resulting in 3348 years of life gained annually. COVID-19 mobility restrictions reduced NO 2 emissions and population-wide exposures in Australian cities. When sustained to the same extent by policy interventions that reduce fossil fuel consumption by favouring the uptake of electric vehicles, active travel and public transport, the health, mortality and economic benefits will be measurable in Australian cities. [Display omitted] [ABSTRACT FROM AUTHOR]

Background: A cardiac implantable electronic device (CIED) survey was undertaken in Australia and New Zealand for calendar year 2021. The survey involved pacemakers (PMs) and implantable cardioverter-defibrillators (ICDs). The survey was conducted on the 50th anniversary of the first survey for both Australia and New Zealand in 1972; that initial survey being conducted by two of the current authors.Results and Conclusions: For 2021, there were 19,410 PMs (17,971 in 2017) sold in Australia for new implants and 2,282 (1,811 in 2017) sold in New Zealand. The number of new PM implants per million population was 755 for Australia (745 in 2017) and 446 for New Zealand (384 in 2017). Unlike previous recent surveys, the percentage of PM replacements compared to total sales in both Australia and New Zealand rose. Pulse generator types implanted were predominantly dual chamber; Australia 77% (73% in 2017) and New Zealand 70% (68% in 2017). There were 1,509 biventricular PMs implanted in Australia (1,247 in 2017) and 172 in New Zealand (118 in 2017). Transvenous pacing leads were >90% active fixation in the atrium and ventricle. There was an increase in ICD usage with Australia 4,519 new implants (4,212 in 2017) and New Zealand 449 (396 in 2017). New ICD implants per million population were 187 for Australia (175 in 2017) and 88 for New Zealand (90 in 2017). For the first time the survey included implantable event monitors with 6,933 being implanted in Australia. However, for proprietary reasons, survey figures for subcutaneous implantable defibrillators, leadless pacemakers and conduction system pacing have not been included. Both Australia and New Zealand have high PM and ICD implant numbers compared to the rest of the Asia Pacific region. [ABSTRACT FROM AUTHOR]

Objectives: Increasing numbers of older people are living longer, often alone, in their own homes. Services and products that enable older people to remain safely in their own homes are required. The My Smart Home project recruited 30 community-dwelling people aged 65+ to co-design a package of technology to address their individual goals for safety and security at home. The technology package, up to the value of $4000, included installation of health monitoring, communication and entertainment devices, and security alarms, with 6 hours of technology coaching. Methods: Participants completed the Personal Wellbeing Index (PWI), the Australian Quality of Life-8 Dimensions (AQoL-8D) and the Canadian Occupational Performance Measure (COPM) at baseline, and after 4 weeks' use of the technology package. Semi-structured interviews were also used to qualitatively understand the challenges, enablers and outcomes of the project with respect to safety and security in the home. Results: Significant improvements in PWI (p < 0.01), AQoL-8D (p < 0.001) and COPM for goal performance (p < 0.001) and goal satisfaction (p < 0.001) were reported. Participants also reported feeling safer and more secure in their own homes. Common barriers to adoption of technology, cost, integration with already-owned technology and lack of confidence were overcome with this technology and coaching package. Conclusions: An individualised package of technology, with coaching, that supports older people to realise their personal goals with technology resulted in improved well-being, quality of life and sense of safety and security in community-dwelling older people. Ultimately, this should support a longer and better quality of life at home. [ABSTRACT FROM AUTHOR]

Recognising the need for a national approach for the recommended best practice for the follow-up of implanted cardiac rhythm devices to ensure patient safety, this document has been produced by the Cardiac Society of Australia and New Zealand (CSANZ). It draws on accepted practice standards and guidelines of international electrophysiology bodies. It lays out methodology, frequency, and content of follow-up, including remote monitoring; personnel, including physician, allied health, nursing and industry; paediatric and adult congenital heart patients; and special considerations including magnetic resonance imaging scanning, perioperative management, and hazard alerts. [ABSTRACT FROM AUTHOR]

Background: The use of cardiac implantable electronic devices (CIED), which includes pacemakers, implantable cardioverter-defibrillators (ICD), cardiac resynchronisation therapy pacemakers (CRT-P) and cardiac resynchronisation therapy defibrillators (CRT-D) has increased over the past 20 years, but there is a lack of real world evidence on the longevity of these devices in the older population which is essential to inform health care delivery and support clinical decisions.Methods and Results: We conducted a retrospective cohort study using data from the Australian Government Department of Veterans' Affairs database. The cohort consisted of people who had a CIED procedure between 2005 and 2015. The cumulative risk of generator replacement/reoperations was estimated accounting for the competing risk of death. A total of 16,662 patients were included. In pacemaker recipients with an average age of 85 years, the 5-year risk of reoperation ranged from 2.8% in single chamber, 3.6% in dual chamber to 7.6% in CRT-P recipients, while the 5-year risk of dying with the index pacemaker in situ was 63% in single chamber, 46% in dual chamber and 56% in CRT-P recipients. In defibrillator recipients with an average age of 80 years, the 5-year risk of reoperation ranged from 11% in single chamber, 13% in dual chamber to 24% in CRT-D recipients, while the 5-year risk of dying with the index defibrillator in situ was 46% in single chamber, 40% in dual chamber and 41% in CRT-D recipients.Conclusion: In this cohort of older patients the 5-year risk of generator reoperation was low in pacemaker recipients whereas up to one in four CRT-D recipients would have a reoperation within 5 years. [ABSTRACT FROM AUTHOR]

As a biomarker for liver disease, bilirubin has been utilized in prognostic scoring systems for cirrhosis. While laboratory-based methods are used to determine bilirubin levels in clinical settings, they do not readily lend themselves to applications outside of hospitals. Consequently, bilirubin monitoring for cirrhotic patients is often performed only intermittently; thus, episodes requiring clinical interventions could be missed. This work investigates the feasibility of measuring bilirubin concentration in whole porcine blood samples using dual-wavelength transmission measurement. A compact and low-cost dual-wavelength transmission measurement setup is developed and optimized to measure whole blood bilirubin concentrations. Using small volumes of whole porcine blood (72 µL), we measured the bilirubin concentration within a range corresponding to healthy individuals and cirrhotic patients (1.2–30 mg/dL). We demonstrate that bilirubin levels can be estimated with a positive correlation (R-square > 0.95) and an accuracy of ±1.7 mg/dL, with higher reliability in cirrhotic bilirubin concentrations (> 4 mg/dL) – critical for high-risk patients. The optical and electronic components utilized are economical and can be readily integrated into a miniature, low-cost, and user-friendly system. This could provide a pathway for point-of-care monitoring of blood bilirubin outside of medical facilities (e.g., patient's home). [ABSTRACT FROM AUTHOR]

Objective. This study investigated antibiotic prophylaxis (AP) guideline adherence and the cardiac implantable electronic device (CIED) infection rate in two major Australian public teaching hospitals. Methods. In a retrospective observational study, the medical records of patients who underwent CIED procedures between January and December 2017 were reviewed (Hospital A, n = 400 procedures; Hospital B, n = 198 procedures). Adherence to AP guidelines was assessed regarding drug, dose, timing, route and frequency. Infection was identified using follow-up documentation. Results. AP was administered in 582 of 598 procedures (97.3%). Full guideline adherence was observed in 33.9% of procedures (203/598) and differed significantly between Hospitals A and B (47.3% vs 7.1%, respectively; P, 0.001). Common reasons for non-adherence were the timing of administration (42.3% vs 60.6% non-adherent in Hospitals A and B, respectively; P, 0.001) and repeat dosing (19.3% vs 78.8% non-adherent in Hospitals A and B, respectively; P, 0.001). Twenty infections were identified over 626.6 patient-years of follow-up (mean (-s.d.) follow-up 1.0 ± 0.3 years). The infection rate was 3.19 per 100 patient-years (P = 0.99 between hospitals). Two devices were removed due to infection; no patients died from CIED infection. Conclusions. Although the rate of serious CIED infection was low, there was evidence of highly variable and suboptimal antibiotic use, and potential overuse of AP. [ABSTRACT FROM AUTHOR]

Objective: To evaluate the feasibility of implementing an integrated multicomponent survivorship care model for men affected by prostate cancer. Methods: Using a single arm prospective cohort study design, men with prostate cancer were recruited from two regional public hospitals in Australia for a 6‐months program that provided information and decision support, exercise and nutrition management, specialised clinical support, and practical support through localised and central care coordination. Carers of the men were also invited to the program. Data were collected from multiple sources to evaluate: (1) recruitment capability and participant characteristics; (2) appropriateness and feasibility of delivering the specific intervention components using an electronic care management tool; and (3) suitability of data collection procedures and proposed outcome measures. Results: Of the 105 eligible men, 51 (consent rate 49%) participated in the program. Of the 31 carers nominated by the men, 13 consented (consent rate 42%). All carers and 50 (98%) men completed the program. Most (92%) men were newly diagnosed with localised prostate cancer. All men attended initial screening and assessment for supportive care needs; a total of 838 episodes of contact/consultation were made by the intervention team either in person (9%) or remotely (91%). The intervention was implemented as proposed with no adverse events. The proposed outcome measures and evaluation procedures were found to be appropriate. Conclusions: Our results support the feasibility of implementing this integrated multicomponent care model for men affected by prostate cancer. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic poses a significant stress on health resources in Australia. The Heart Rhythm Council of the Cardiac Society of Australia and New Zealand aims to provide a framework for efficient resource utilisation balanced with competing risks when appropriately treating patients with cardiac arrhythmias. This document provides practical recommendations for the electrophysiology (EP) and cardiac implantable electronic devices (CIED) services in Australia. The document will be updated regularly as new evidence and knowledge is gained with time. [ABSTRACT FROM AUTHOR]

Objectives: Vehicle crashes in work zones are significantly underreported in official crash datasets of many countries, including Australia. This leads to underestimations of work zone crash frequencies and limited understanding of crash causation factors. To address this important gap in the literature, this paper examines historical data from two different sources - police-reported crash data and organizational Workplace Health and Safety (WHS) records - to understand work zone crashes and their characteristics in Queensland, Australia.Methods: WHS data including text fields were cleaned and coded to match police-reported crash data variables for comparative descriptive analysis of a 45-month period. involvement of a moving vehicle that collided with another vehicle, pedestrian, object, or overturned, at a work zone accessible to public traffic.Results: There were more work zone crashes in the WHS data (N = 820) than the police-reported data (N = 128) and the WHS data offered a deeper understanding of incident causes due to the greater breadth of information available. The two data sets varied in terms of the patterns of crash type, the mixes of road users and vehicles involved, and the contributing factors that were identified, highlighting dangers of relying on single sources for understanding crash characteristics. The WHS data appear relatively consistent with the overall work zone safety literature, but their use has limitations regarding processing and reliability. Conversely, police-reported crash data can be analyzed efficiently but they suffer from underreporting and selective reporting.Conclusions: The WHS dataset is a valuable alternative to police-reported crash data for understanding vehicle crash characteristics in work zones, particularly where restrictive reporting criteria lead to inability to identify these crashes in police data. Reliability and utility of WHS data could be improved through advanced reporting systems and procedures, potentially including development of an app-based system for use on mobile electronic devices. [ABSTRACT FROM AUTHOR]

Background: Cardiovascular implantable electronic devices (CIEDs) are associated with procedure-related complications, yet little is known about variation in complication rates among institutions that may suggest disparities in care quality.Objective: To assess institutional variation in risk-standardized complication rates (RSCRs) for CIED.Design: Cohort study.Setting: 174 hospitals in Australia and New Zealand, 98 of which implanted at least 25 CIEDs during the study period.Participants: 81 304 patients older than 18 years (mean, 74.7 years [SD, 12.4]; 37.9% female) who received a new CIED (65 711 permanent pacemakers [PPMs] and 15 593 implantable cardioverter-defibrillators [ICDs]) in 2010 to 2015.Measurements: RSCRs and frequencies of major device-related complications during hospitalization or within 90 days of discharge.Results: Of the cohort, 6664 patients (8.2%) had a major complication. Although complication rates were higher for ICDs than PPMs (10.04% vs. 7.76%), 76.5% of all complications were attributable to PPMs (5098 vs. 1566 for ICDs). Among hospitals that implanted at least 25 CIEDs, the median RSCR was 8.1%; however, rates varied from 5.3% to 14.3%, with 22 hospitals identified as having RSCRs that differed significantly from the national average. Similar variation was observed when RSCRs for PPM implantation (n = 96 hospitals) (median RSCR, 7.6% [range, 5.4% to 12.9%]) were considered separately from those for ICD placement (n = 68 hospitals) (median RSCR, 9.7% [range, 6.2% to 16.9%]) and persisted when only elective procedures were assessed (n = 88 hospitals) (median RSCR, 7.4% [range, 4.7% to 13.0%]).Limitation: Possible unmeasured confounding from the use of administrative data.Conclusion: CIED complications are common and vary among hospitals, suggesting institutional variation in CIED care quality. Concerted clinical and policy interventions are needed to address CIED-related complications. These efforts should preferentially target PPMs, because most CIED complications are attributable to these devices.Primary Funding Source: The Hospitals Contribution Fund Research Foundation. [ABSTRACT FROM AUTHOR]

Background: A cardiac implantable electronic device (CIED) survey was undertaken in Australia and New Zealand for calendar year 2017 and involved pacemakers (PMs) and implantable cardioverter-defibrillators (ICDs).Results and Conclusions: For 2017, there were 17,971 (15,203 in 2013) new PMs sold in Australia and 1,811 (1,641 in 2013) implanted in New Zealand. The number of new PM implants per million population was 745 for Australia (652 in 2013) and 384 for New Zealand (367 in 2013). In both Australia and New Zealand, the number of PM replacements fell as a result of improved power source service life. Pulse generator types implanted were predominantly dual chamber; Australia 73% (74% in 2013) and New Zealand 68% (59% in 2013). There were 1,247 biventricular PMs implanted in Australia (661 in 2013) and 118 in New Zealand (83 in 2013). Transvenous pacing leads were overwhelmingly active fixation in both the atrium and ventricle. In Australia there was an increase in ICD usage with 4,212 new implants (3,904 in 2013), but a small fall in New Zealand to 396 (423 in 2013). The new ICD implants per million population were 175 for Australia (167 in 2013) and 90 for New Zealand (95 in 2013). There was a small reduction in biventricular ICDs in both Australia (2,195) and New Zealand (111). [ABSTRACT FROM AUTHOR]

This study examined the effects of evening use of electronic devices (i.e., smartphones, etc.) on sleep quality and next-day athletic and cognitive performance in elite judo athletes. Over 6 consecutive days and nights, 23 elite Australian judo athletes were monitored while attending a camp at the Australian Institute of Sport (AIS). In 14 athletes, all electronic devices were removed on days 3 and 4 (i.e., for 48 hours: the "device-restricted group"), whereas 9 were permitted to use their devices throughout the camp (the "control group"). All athletes wore an activity monitor (Readiband) continuously to provide measures of sleep quantity and quality. Other self-reported (diary) measures included time in bed, electronic device use, and rate of perceived exertion during training periods. Cognitive performance (Cogstate) and physical performance (single leg triple hop test) were also measured. When considering night 2 as a "baseline" for each group, removal of electronic devices on nights 3 and 4 (device- restricted group) resulted in no significant differences in any sleep-related measure between the groups. When comparing actigraphy-based measures of sleep to subjective measures, all athletes significantly overestimated sleep duration by 58 ± 85 minutes (p = 0.001) per night and underestimated time of sleep onset by 37 ± 72 minutes (p = 0.001) per night. No differences in physical or cognitive function were observed between the groups. Conclusion: This study has shown that the removal of electronic devices for a period of two nights (48 hours) during a judo camp does not affect sleep quality or quantity or influence athletic or cognitive performance. [ABSTRACT FROM AUTHOR]

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Introduction: People with severe acquired brain injury often require lifetime support, sometimes received from paid workers if living in shared supported accommodation. Electronic assistive technology may offer a less intrusive method of support that can enable autonomous participation and deliver cost savings. However, research on rates, barriers, and facilitators of electronic assistive technology uptake is lacking. This study aimed to identify electronic assistive technology types used by people with acquired brain injury living in shared supported accommodation, assess user satisfaction and psychosocial impact of electronic assistive technology, detail the impact of technology use on respondents' participation and support needs, and describe barriers and/or facilitators to electronic assistive technology uptake and ongoing use. Method: Participants were identified electronic assistive technology users with acquired brain injury living in shared supported accommodation in Australia (N=22). Mixed methods data were collected using semi-structured interviews and published measures of support need, electronic assistive technology satisfaction, and psychosocial impact. Results: Participants reported satisfaction with the devices they used, and positive psychosocial outcomes. Areas impacted by electronic assistive technology, key facilitators and barriers to electronic assistive technology use, and implications for occupational therapists working to deliver electronic assistive technology solutions were identified. Conclusion: Electronic assistive technology use by this group can positively influence both everyday functioning and participation. Skilled prescription and ongoing support services are necessary to maximise uptake and use. [ABSTRACT FROM AUTHOR]

Technological advancements and the rise of social media have transformed the media landscape and blurred the boundaries between journalist and citizen. Traditional media organisations have been quick to embrace the benefits of social platforms, including immediacy, audience engagement and increased circulation. As well as allowing for more detailed representations of court proceedings than may be available in a traditional article format, the capacity to relay information to a vast audience through social media has eliminated some obstacles that have historically placed media organisations in the best position to report on court proceedings. This presents significant opportunities to enhance open justice; however, concerns have been raised about inaccurate and prejudicial reporting, as well as the impact of social media reporting on the practical capacity of judicial officers to control the publication of information relating to criminal proceedings. This article examines the response of United Kingdom and Australian jurisdictions to the use of electronic devices for reporting from courtrooms to examine how the competing imperatives to promote open justice and protect procedural integrity are being balanced. [ABSTRACT FROM AUTHOR]