Risk assessment for atmospheric environmental management: a case study in the Hunter Region of New South Wales, Australia

1985 ◽  
Vol 9 (3) ◽  
pp. 217-230
Author(s):  
A. J. Jakeman ◽  
R. W. Simpson
1996 ◽  
Vol 30 (4) ◽  
pp. 457-462 ◽  
Author(s):  
Robert McDonald ◽  
Carmen Vechi ◽  
Jenny Bowman ◽  
Robert Sanson-Fisher

Objective: To determine the levels and predictors of psychological distress within a Latin American community in the Hunter region of New South Wales, Australia. Method: Participants (n=184) were interviewed in their homes by a bilingual interviewer using a specially prepared questionnaire and the General Health Questionnaire (GHQ-12). Results: Of the 13 independent variables examined, two demographic and two immigrant-related variables were significantly associated with an above-threshold score: marital status, employment status, perceived discrimination, and dissatisfaction with life in Australia. Conclusions: Compared to results from other community surveys, the levels of psychological distress within this Latin American community appear to be relatively high.


Sexual Health ◽  
2007 ◽  
Vol 4 (1) ◽  
pp. 1 ◽  
Author(s):  
Asaduzzaman Khan ◽  
David Plummer ◽  
Rafat Hussain ◽  
Victor Minichiello

Background: Physicians’ inadequate involvement in sexual risk assessment has the potential to miss many asymptomatic cases. The present study was conducted to explore sexual risk assessment by physicians in clinical practice and to identify barriers in eliciting sexual histories from patients. Methods: A stratified random sample of 15% of general practitioners (GP) from New South Wales was surveyed to assess their management of sexually transmissible infections (STI). In total, 409 GP participated in the survey with a response rate of 45.4%. Results: Although nearly 70% of GP regularly elicited a sexual history from commercial sex workers whose presenting complaint was not an STI, this history taking was much lower (<10%) among GP for patients who were young or heterosexual. About 23% never took a sexual history from Indigenous patients and 19% never elicited this history from lesbian patients. Lack of time was the most commonly cited barrier in sexual history taking (55%), followed by a concern that patients might feel uncomfortable if a sexual history was taken (49%). Other constraints were presence of another person (39%) and physician’s embarrassment (15%). About 19% of GP indicated that further training in sexual history taking could improve their practice. Conclusions: The present study identifies inconsistent involvement by GP in taking sexual histories, which can result in missed opportunities for early detection of many STI. Options for overcoming barriers to taking sexual histories by GP are discussed.


2021 ◽  
Vol 8 ◽  
pp. 237437352199862
Author(s):  
Tara Dimopoulos-Bick ◽  
Louisa Walsh ◽  
Kim Sutherland

The COVID-19 pandemic continues to affect health care systems globally, and there is widespread concern about the indirect impacts of COVID-19. Indirect impacts are caused by missed or delayed health care—not as a direct consequence of COVID-19 infections. This study gathered experiences of, and perspectives on, the indirect impacts of COVID-19 for health consumers, patients, their families and carers, and the broader community in New South Wales, Australia. A series of semi-structured virtual group discussions were conducted with 33 health consumers and community members between August 24 and August 31, 2020. Data were analyzed using an inductive thematic analysis approach. The analysis identified 3 main themes: poor health outcomes for individuals; problems with how health care is designed and delivered; and increasing health inequality. This case study provides insight into the indirect impacts of COVID-19. Health systems can draw on the insights learned as a source of experiential evidence to help identify, monitor and respond to the indirect impacts of COVID-19.


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