Cardiopulmonary Exercise Stress Testing – an Update

2014 ◽  
Vol 19 (4) ◽  
pp. 7-10
Author(s):  
Stephen L. Demeter

Abstract This article updates one published in The Guides Newsletter in January/February 1998 and reflects changing legislation in the workers’ compensation area and also in motor accident compensation. In the various Australian state and federal jurisdictions, impairment rating has become an important component of independent medical examinations, and in many areas, impairment guides have been adopted as a mandatory tool for assessing permanent impairment. For example, in the mid-1990s the state of Victoria established use of the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fourth Edition, as the sole tool for evaluating impairment and continues to use this edition to the present time. Despite the publication of the AMA Guides, Fifth Edition, in 2000, the Motor Accidents Authority in New South Wales (NSW) continues to use the fourth edition, supplemented with the NSW Motor Accidents Authority Guidelines. In November 2001, Tasmania adopted the same guidelines that were being used by the NSW Motor Accidents Authority. Despite publication of the AMA Guides, Sixth Edition, in 2007, there has remained a general reticence in Australia to progress to use of this latest edition either as stand-alone impairment rating tools or an underpinning of the purpose-developed impairment guidelines already in place. A large number of Australian medical assessors have become used to the model based on the NSW WorkCover Guides for the Evaluation of Permanent Impairment, which interprets the AMA Guides, Fifth Edition.

1998 ◽  
Vol 3 (1) ◽  
pp. 4-4
Author(s):  
Randall Lea ◽  
William Shaw

Abstract This article discusses uses of the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) in Australia and New Zealand. In addition to its use in the United States, the AMA Guides also is used in Australia, New Zealand, Canada, and some European countries such as Ireland, the Netherlands, and Norway. Use of the AMA Guides varies from country to country, depending on local workers’ compensation or personal injury legislation. In Australia, the AMA Guides is used in various state systems, but the editions used or recommended may differ. Often, cases in which the impairment predates December 1988 (when the current Commonwealth Workers’ Compensation Act became effective) are assessed in terms of the AMA Guides, Fourth Edition. Although many physicians use the Fourth Edition, others refer to the Table of Disabilities (Div 4/S66 of the New South Wales Workers’ Compensation Act) and Victoria prefers the AMA Guides, Second Edition. At the federal level, Australia has adopted the Guide to the Assessment of the Degree of Permanent Impairment (1989 but under revision at the time of writing). In New Zealand, the Accident Compensation Commission officially adopted use of the AMA Guides, Fourth Edition, in 1997.


2001 ◽  
Vol 44 (11-12) ◽  
pp. 353-360 ◽  
Author(s):  
L. Davison ◽  
T. Headley ◽  
M. Edmonds

This paper summarises the results of studies on four subsurface flow wetlands (reed beds) located in the moist sub-tropical north eastern corner of the Australian state of New South Wales. The reed beds, which are subjected to a variety of effluent types, all have a gravel substrate planted with Phragmites australis. All four units were found to maintain satisfactory treatment performance year round. Mean removal efficiencies ranged from 56% to 90% (SS), 70% to 93% (BOD), 38% to 66% (TN), 87% to 99.8% (Faecal coliforms), and 42% to 70% (TP - with one seasonal result of 0% for the eight year old unit) for the four reed beds. After eight years in operation the oldest reed bed was showing signs of phosphorus saturation with outlet TP concentrations exceeding inlet concentrations on some occasions. The youngest reed bed studied appeared to be operating efficiently after five months. A summer water balance on one of the reed beds revealed an average crop factor of 1.6 and a moisture loss to atmosphere of 40% of influent flow. Treatment performance (particularly for TN and SS) was found to be negatively correlated with rainfall during one study. The paper discusses the implications of the above results for on-site system designers and regulators and identifies areas for further investigation.


2016 ◽  
Vol 44 (3) ◽  
pp. 363-399
Author(s):  
Laura Grenfell

This paper analyses how four Australian state parliaments debate the rights implications of anti-bikie bills that restrict various individual rights. It focuses on three state parliaments–those of Victoria, Queensland and New South Wales–which have committees that scrutinise all bills for their rights implications and it compares the debate in these parliaments with that of South Australia where such systematic rights-scrutiny of all bills is absent. The paper considers whether the existence of a formal parliamentary committee for rights-scrutiny strengthens or diminishes the process of parliamentary scrutiny of bills for their rights implications. Overall the paper argues that, regardless of the system in place, parliamentary rights-scrutiny remains weak in the four surveyed Australian states when parliaments debate law and order bills. However, this weakness is manifested in different ways, with full and frank rights-deliberation deficient in Victoria, Queensland and New South Wales and systematic and well-informed rights-scrutiny absent in South Australia.


Author(s):  
Chris Sauer

This chapter describes the transformation of the motor vehicle registration and driver licensing business of the Roads and Traffic Authority of the Australian state of New South Wales. At the heart of this transformation which took place between 1989 and 1992 is a system called DRIVES. The project was innovative in the technology platform it devised and in the CASE technology it used to build the application. The new system has paid for itself at the same time as transforming the Roads and Traffic Authority’s way of doing the business. In addition it has generated new strategic opportunities. The iterating sequence of steps, or looped path, by which the Roads and Traffic Authority achieved its organizational transformation is compared with the more traditional top-down path. The looped path helps prepare the organization for the information technology change, makes risk more manageable by reducing the dependence between steps in the path, and leads to strategic benefits after the organizational changes have been mastered. Thus, we say that the particular order in which change was undertaken led to the new organizational order.


1977 ◽  
Vol 191 (1) ◽  
pp. 31-38 ◽  
Author(s):  
R. G. Vaughan

The effects of compulsory seat belt wearing have been evaluated for the most populous Australian State — New South Wales. Wearing rates are now very high and although surveys have shown increasing acceptance of the safety value of belts, a sizable minority of motorists apparently only wear their belts because of the law. Compulsory belt wearing appears to have saved a substantial number of vehicle occupant lives, with the main saving being among young adults. Urban deaths appear to have been affected more than rural deaths. There is tentative evidence of reductions in serious injuries among occupants. A side effect of the law has been increased usage of restraining systems for young children.


2013 ◽  
Vol 4 (3) ◽  
pp. 31-52
Author(s):  
Stephen J Sugden

In two earlier papers, an intricate Jackpot structure and analysis of pseudo-random numbers for Keno in the Australian state of Queensland circa 2000 were described. Aspects of the work were also reported at an international conference . Since that time, many aspects of the game in Australia have changed. The present paper presents more up-to-date details of Keno throughout the states of Queensland, New South Wales and Victoria. A much simpler jackpot structure is now in place and this is described. Two add-ons or side-bets to the game are detailed: the trivial Heads or Tails and the more interesting Keno Bonus, which leads to consideration of the subset sum problem. The most intricate structure is where Heads or Tails and Keno Bonus are combined, and here, the issue of independence arises. Closed expressions for expected return to player (ERTP) are presented in all cases.


2014 ◽  
Vol 6 (1/2) ◽  
pp. 152-173
Author(s):  
Peter Williams

Purpose – The purpose of this paper is to examine the framework, operation and prospects of two innovative planning tools – biobanking and biodiversity certification – to protect biodiversity in the context of urbanisation. Design/methodology/approach – Using the Australian State of New South Wales, and its capital Sydney, as a focus, the paper reviews the history and performance of the two planning tools selected for examination. Findings – Through its analysis, this paper supports the use of biobanking and biodiversity certification as tools at the disposal of planners which should be employed to augment the array of tools to manage the impacts on biodiversity of urban development. Indeed, these tools have the potential to increase the level of conserved biodiversity if used appropriately. Originality/value – Biobanking and biodiversity certification are, respectively, examples of market-based and strategic-based statutory planning mechanisms that can be used to protect biodiversity in an urban development context. Creative adaption of environmental planning laws is required to ensure effective implementation of these innovative planning tools. The relevant contemporary statutory enactments that have given effect to these mechanisms are examined in this paper.


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