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Lean Maintenance Roadmap

Sherif Mostafa, Jantanee Dumrak & Hassan Soltan
Maintenance shares significant operating costs in an organisation. It is considered as a main pillar of the organisational performance. Lean thinking can be incorporated into maintenance activities through applying its principles and practices. Lean maintenance is a prerequisite for lean manufacturing systems. The exhaustive literature review has been conducted to collect the up-to-date maintenance strategies and activities, lean principles and practices in the lean maintenance process. The scope of this paper includes eight types of...

The conflict between Industry Host and Masters Students’ expectations on students entering the Hospitality Industry

Rajka Presbury, Janette Illinsgworth & Scott Richardson
This paper reports on a qualitative study that sought to determine Australian industry hosts’ expectations and perceptions of hotel management master’s degree students on their placement in the industry, and the expectations of students when entering industry placement. The empirical dataset for this qualitative study was collected through student and industry focus groups and individual semi-structured interviews with master’s students and managers of hotels in Sydney, Australia. The technique used for analysing the data was...

Landscape biodiversity correlates with respiratory health in Australia

Craig Liddicoat, Peng Bi, John Glover, Michelle Waycott, Andrew J. Lowe & Philip Weinstein
Megatrends of urbanisation and reducing contact with natural environments may pose a largely unappreciated risk to human health, particularly in children, through declining normal (healthy) immunomodulatory environmental exposures. On the other hand, building knowledge of connections between environments, biodiversity and human health may offer new integrated ways of addressing global challenges of rising population health costs and declining biodiversity. In this study we are motivated to build insight and provide context and priority for emerging...

The socioeconomic gradient and chronic illness and associated risk factors in Australia: how far have we travelled? Evidence from the abs national health survey series

Public Health Information Development Unit (PHIDU)
The most disadvantaged people in Australia bear a disproportionate share of the burden of illness, disability and death when compared with those who are the most well off. Although greatest between the most disadvantaged and the least disadvantaged populations, these differentials often apply across the socioeconomic gradient. They are equally evident for a range of measures of socioeconomic disadvantage.
The release of data from the 2011-13 Australian Health Survey provides an opportunity to examine the...

Theorizing Gamified Virtual Reality Approach to Overcome Fear of Height

Imran Khaliq, J. Fowles & Moore Callan
The use of virtual reality as a form of exposure therapy for people who suffer from acrophobia (fear of height) has been proved and tested by multiple studies. In this paper, we initiate gamified virtual reality approach to overcome fear of height by providing a design implementation theory. We call this theory High Engagement and Low Intensity-Low Engagement and High Intensity. This theory adds a gamified element to the virtual environment. The idea here is...

Jamming as a design approach. Power of jamming for creative iteration

Tece Bayrak
Game jams are constrained game creation events that have been rapidly growing over the last decade. With the space and restriction acknowledging the iterative design process, the sweet urgency and playfully creative nature of game jams enable a concert across several disciplines with the participation of various people in the creation of impressive designs and artefacts. Considering the productivity of these events, the approach of jamming can be a powerful design model for both research...

Free and dipeptide forms of L-glutamine supplementation attenuate parameters of oxidative stress and nonalcoholic fatty liver disease (NAFLD), and improve glucose metabolism in insulin resistant Ob/Ob mice

Jaqueline Santos Moreira Leite, Hilton Takahashi, Layanne Cabral Da C De Araujo, José Donato Junior, Ângelo Rafael Carpinelli & Vinicius Fernandes Cruzat
Introduction: The availability of the body’s most abundant amino acid, glutamine is compromised in obesity-associated diabetes. This may impair glucose metabolism by increasing hepatic insulin resistance, oxidative stress and the development of nonalcoholic fatty liver disease (NAFLD).
Objective: Evaluate the effects of free and dipeptide (DIP, L-alanyl-L-glutamine) forms of L-glutamine on glucose metabolism, biomarkers of oxidative stress and NAFLD in insulin resistant Ob/Ob mice.
Methods: C57/BL6 adult male mice were distributed into five groups: WT and Ob/Ob...

The potential of a pedagogy for border crossing: Encouraging intercultural learning for outbound undergraduates at an Australian university

Louise Townsin
Many Australian universities provide international and intercultural learning experiences for their students, both on campus and through student learning abroad initiatives. Alongside the internationalisation strategies that provide opportunities for intercultural learning, pedagogical strategies are critical in supporting students to develop the dispositions, knowledge, and skills needed for a world with many global, shared challenges. This thesis illustrates the potential of a pedagogy for border crossing to foster intercultural learning for students who participate in international...

Ambient soil cation exchange capacity inversely associates with infectious and parasitic disease risk in regional Australia

Craig Liddicoat, Peng Bi, Michelle Waycott, John Glover, Martin Breed & Philip Weinstein
AbstractHuman contact with soil may be important for building and maintaining normal healthy immune defence mechanisms, however this idea remains untested at the population-level. In this continent-wide, cross-sectional study we examine the possible public health benefit of ambient exposures to soil of high cation exchange capacity (CEC), a surrogate for potential immunomodulatory soil microbial diversity. We compare distributions of normalized mean 2011/12–2012/13 age-standardized public hospital admission rates (cumulative incidence) for infectious and parasitic diseases across...

Older People Who are Frequent Users of Acute Care: A Symptom of Fragmented Care? A Case Series Report on Patients’ Pathways of Care

Joanne Dollard, Gillian Harvey, Elsa Dent, N. Williams, Laura Trotta, Justin Beilby, Elizabeth Hoon, Alison Kitson, C. Seiboth & Jonathan Karnon
Older frequent users of acute care can experience fragmented care. There is a need to understand the issues in a local context before attempting to address fragmented care. 0.5% (n=61) of the population in a defined local government area were identified as having ≥4 unplanned emergency department (ED) presentations/ admissions to an acute-care hospital over 13 months. A retrospective case-series study was conducted to examine detailed pathways of care for 17 patients within the identified...

Evidence of past dental visits and incidence of head and neck cancers: A systematic review and meta-analysis

Bhawna Gupta, Narinder Kumar & Newell W. Johnson
BACKGROUND:Regular/frequent dental visits, at least annually, can aid in reducing the public health burden of head and neck cancers (HNCs) by facilitating earlier detection of the disease. The aim of this study was to conduct a quantitative assessment of any independent association between past dental visits/check-ups and incidence of cancers of HN/upper aerodigestive tract (UADT) and oral cavity worldwide.METHODS:PubMed, CINAHL, and Cochrane databases were searched for all observational studies published until August 2017 in any...

A Border-crossing Pedagogy to Disrupt LGBTIQ+ Bullying and Violence in Schools

Louise Townsin
Many primary, secondary and tertiary educators need support to engage in inclusive pedagogical practices that challenge homophobia, transphobia and heteronormativity. We present a border-crossing pedagogy (BCP) designed to assist English language arts educators in translating knowledge into action to demolish deeply engrained anti-lesbian, gay, bisexual, transgender, queer/questioning, and intersex (LGBTIQ+) bigotry, discrimination and violence. This model is timely given the rise in anti-LGBTIQ+ bigotry as governments pass LGBT-inclusive hate crime laws, executive orders prohibiting LGBT...

How many qualitative interviews is enough? Expert voices and early career reflections on sampling and cases in qualitative research

Sarah Baker & Rosalind Edwards
Students conducting a piece of qualitative research frequently ask ‘how many interviews is enough?’ Early career researchers and established academics also consider this question when designing research projects. In this NCRM Methods Review paper we gather and review responses to the question of ‘how many’ from 14 renowned social scientists and 5 early career researchers. The riposte to the question of ‘how many’ from most contributors is ‘it depends’. In considering what ‘it depends upon’...

Issues of Accessibility to Health Services by Older Australians: A Review

Deborah Van Gaans & Elsa Dent
Background This review provides an in-depth investigation into the difficulties facing older Australians when accessing health care services. Methods A literature search was conducted in December 2016 using Academic Premier to identify relevant publications. Key search terms were accessibility, health service, older people and Australia. Papers published between 1999 and 2016 were included. Statements of accessibility were extracted and then grouped using the five dimensions of accessibility by Penchansky and Thomas (1981): availability, accessibility, accommodation,...

Unconnected and out-of-sight: identifying health care non-users with unmet needs

Elizabeth Hoon, Clarabelle Pham, Justin Beilby & Jonathan Karnon
BackgroundWhile current debates on how to deliver sustainable health care recognise socio-economic dimensions to health service use, attention has focussed on how to reduce demand for services. However, the measures of demand may not account for a subgroup of the population who to date have remained out of sight because they do not access health services. This study aimed to describe the characteristics of individuals who self-reported having fair or poor health but did not...

Lived PhD Experiences: Critical Reflections from the Students’ Point of View

Angele Jones
There is a growing number of PhD students enrolled in Australian universities and yet there are high attrition rates and a decreasing number of permanent or tenured academic roles. Considerable discourse surrounds the purpose of the PhD (Group of Eight, 2013; McAlpine & Norton, 2006) and much less on the PhD experience from current student perspectives. Most research looks at ‘discrete’ aspects, such as supervision, gender or completion (Seagram, Gould & Pyke, 1998; Carter, Blumenstein,...

Frailty and health service use in rural South Australia

Elsa Dent, Elizabeth Hoon, Jonathan Karnon, Jonathan Newbury, Alison Kitson & Justin Beilby
Abstract Background Frailty is a common geriatric condition, well known to contribute to morbidity and mortality. What is not yet well articulated in the literature is the health service use of frail older people in rural areas. This study investigated the impact of frailty on health service use in rural South Australia. Methods This secondary cross-sectional analysis included people aged ≥65 years from the LINKIN health census in Port Lincoln. Frailty was classified using a...

A new border pedagogy to foster intercultural competence to meet the global challenges of the future

Louise Townsin & Christopher S Walsh
The Millennium Project, an international participatory think tank that uses futures research to systematically explore, create and test both possible and desirable futures in order to improve decisions in the present, presents unprecedented challenges for Australian education. Their publication, 2015-16 State of the Future, outlines 15 global challenges that represent an unparalleled invitation for educators to think creatively and imaginatively to design experiences whereby students successfully engage in ‘border crossing’ (Giroux, 1992). The act of...

Frailty: Turning the Titanic. [Letter to the Editor]

Rachel Ambagtsheer, Justin Beilby & Elsa Dent
Letter to the editor in response to: Reeves, et al. The challenge of ageing populations and patient frailty: can primary care adapt? BMJ 2018;362:k3349
"We note with interest the recent article by Reeves and colleagues [1] regarding frailty in primary care in light of recent policy developments in the UK requiring GPs to identify and treat older people with moderate to severe frailty. The authors suggest that the ultimate success of this initiative will likely hinge...

Bettering the Evaluation and Care of Health (BEACH): A unique role in the evolution of Australian general practice

Justin Beilby
Understanding what we do every day as general practitioners (GPs) through a detailed and measureable approach has been, and will continue to be, crucial to strengthening our profession. I have been working with general practice information and available data sources for over 20 years and have always appreciated the ongoing role of Bettering the Evaluation and Care of Health (BEACH) as one of my principal sources of validation. Preparing applications for many research grants, justifying...

Welcome to the Bubble: Experiences of liminality and communitas among summer camp counsellors

Mandi Baker
Summer camps provide a special time and space for youth growth and transformation. This growth is possible, in part, due to the physical and social isolation that contribute to the liminality of traditional residential camps. Camps act as a sort of ‘bubble’ in which alternative realities, norms and identities emerge. For many campers and camp counsellors, the community and personal relationships that develop at camp produce feelings of acceptance and belonging. Positive camp experiences do...

National ‘soft skills’ training: Investigating soft skill training in the outdoor recreation sector

Mandi Baker & Wendy O'Brien
At the centre of the best outdoor experiences is a person; a leader who facilitates the individuals, group and environment in such a way that makes positive and lasting impressions on participants. The skills and abilities facilitators bring to these encounters are diverse yet require that they are adept at emotional perception, management and processing as well as interpersonal connection and communication. The performance and embodiment of ‘emotion work’ is central to everyday fulfillment of...

Glutamine and Skeletal Muscle

Vinicius Fernandes Cruzat
Among the 20 amino acids in the genetic code, glutamine is the most abundant and versatile amino acid in the human body. Quantitatively, the main tissue for glutamine synthesis, storage, and release is the skeletal muscle. Through the intertissue metabolic flux, skeletal muscles constantly release glutamine and feed cells of the immune system, liver, and kidneys. Glutamine can donate nitrogen atoms to the synthesis of purines and pyrimidines, has antioxidant and antiinflammatory properties, and also...

Perspectives of Frailty and Frailty Screening: Protocol for a Collaborative Knowledge Translation Approach and Qualitative Study of Stakeholder Understandings and Experiences

Mandy Archibald, Rachel Ambagtsheer, Justin Beilby, Mellick Chehade, Tiffany Gill, Renuka Visvanathan & Alison Kitson
Background: Accompanying the unprecedented growth in the older adult population worldwide is an increase in the prevalence of frailty, an age-related clinical state of increased vulnerability to stressor events. This increased vulnerability results in lower social engagement and quality of life, increased dependency, and higher rates of morbidity, health service utilization and mortality. Early identification of frailty is necessary to guide implementation of interventions to prevent associated functional decline. Consensus is lacking on how to...

All in good fun: governing camp experiences through discourses of ‘good’ and ‘fun’

Mandi Baker, Simone Fullagar & Wendy O'Brien
Summer camps have been conventionally associated with the positive development of individual character through the promotion of recreational ‘fun.’ However, popular narratives obscure more critical questions concerning the power-knowledge relations that have shaped the provision of summer camp fun as a significant site of child development in Canadian culture. In this article we examine how camp counsellors mobilise particular discourses about the benefits, or ‘good’, and ‘fun’ of camp to govern themselves and the campers...

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