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Quality of life following surgery for head and neck cancer: Evidence from ACRIN 6685
No full textBackground: This study examined the trajectory of health-related quality of life (HRQoL) for patients with clinical stage N0 HNSCC enrolled in ACRIN6685 who underwent elective neck dissection(s).
Methods: HRQoL of 230 patients in the ACRIN 6685 trial was measured pro-spectively up to 2 years following surgery using the University of Washington Quality of Life instrument.
Results: General Health Within the Last 7 Days did not differ significantly from baseline at any follow-up. General Health Relative to Before Cancer fell significantly by 5.8 points following surgery (p = 0.048), and then returned to3.0 points above baseline at 1 year (p = 0.65). For Overall Quality of Life, HRQoL fell significantly by 4.3 points following surgery (p = 0.031) and then returned to levels not significantly different from baseline.
Conclusions: Patients with stage N0 HNSCC experience significant declines in HRQoL immediately following surgery, including neck dissection, which recovers to near or better than baseline within 1–2 year
‘Research Methodologies for Dance and Cultural Dramaturgies In Contested Land’
Get PDFBetween 2022 and 2023 Australia’s leading Indigenous intercultural dance and theatre company Marrugeku presented two research laboratories titled, Dance and Cultural Dramaturgies in Contested Land, which took place on Yawuru Buru, Rubibi (Broome) and Gadigal and Bidiagal lands (Sydney). This presentation for Nulungu’s Talking Heads seminar series by Marrugeku’s Co-Artistic Directors Yawuru /Bardi/ Malay/ Filipino movement artist Dalisa Pigram and Anglo-Pākehā director and dramaturg Rachael Swain will be a collaborative weaving of critical discourse, documentation and reflection unpacking the practice led research model for new dramaturgies in contested land. Working together from their distinct positions and disciplines Dalisa and Rachael have co-created trans-disciplinary and intercultural performance over three decades. These collaborations have been undertaken with Kunwinjku and Yawuru cultural custodians and co-devising artists from many disciplines, many Indigenous Nations and diverse settler backgrounds leading to new trans-Indigenous, intercultural and interdisciplinary dramaturgies. The two research labs were curated by Dalisa and Rachael together with their long term dramaturgical collaborators Yawuru cultural leader Patrick Dodson and Belgian dance dramaturg Hildegard de Vuyst. Each two week research process was convened for leading independent practitioners from Australia, Aotearoa, Canada and Morocco to locate questions of dance dramaturgy in the contested land that it is danced on and to engage the cultural perspectives and experiences of those who create it. The presentation will unpack the research methodology to share approaches that might be applied in other situations of dramaturgical experiment. The reflections have been focused and documented in collaboration with Dr Tia Reihana (Ngāti Hine) who attended the Gadigal lab as Kairangahau (researcher). Dalisa, Rachael and Tia are members of the working group leading Dance Research Australasia, an international network that curates, connects and activates research to build capacity and invigorate dance praxis locally and globally amid the ever present histories and current critical discourses of the Southern Ocean context
Do we have Agency? Early Childhood Educators\u27 Experience of Pedagogical Agency in Providing Child Agency
Get PDFThe National Quality Standards (NQS) are the key means of assessing quality in early childhood education in Australia. In Western Australia, teachers in schools are expected to implement a modified NQS from kindergarten to Year 2 (K–2) that has been specifically developed for school settings, hereafter referred to as NQSWA. Like other early years educators, K–2 teachers in Western Australia are required to demonstrate adherence to approved learning frameworks and to value young children’s ideas, interests and opinions. These educators need to demonstrate that each child is afforded agency and that they are given the opportunity to make choices and decisions that influence events in their world.
This research used hermeneutic phenomenology to explore the lived experience of early childhood educators’ pedagogical agency and how this impacts their ability to provide children with agency. Data were collected through a focus group, observations, document collection, semi-structured epistemic interviews and journalling from a cluster of schools in south-west Western Australia. Data analysis used an inductive deductive design, identifying new and emerging themes, and expanding and developing the initial conceptual framework derived from the literature. The research found that the provision of child agency is dependent on early childhood educators’ experiences of pedagogical agency, which is impacted by their conceptualisation of agency and the elements of context, culture and community that support or impede their agentic practice. While experienced practitioners in kindergarten and pre-primary enact their pedagogical agency to provide child agency, the research identified that Year 1 and 2 teachers struggle with the complexities of enacting their agency because of an array of curriculum and environmental constraints. This research makes recommendations for strengthening support for early childhood educators’ pedagogical agency at macro, meso and micro levels
Compatibility of medication admixtures in continuous subcutaneous infusions: Prioritizing laboratory testing for common combinations
No full textObjectives: Continuous subcutaneous infusions (CSCIs) are indicated as an alternative therapy when the oral route is not viable. However, despite their widespread use in palliative care, the evidence for admixture compatibility remains a limitation. It is estimated that a signifcant number of admixtures used in practice are not supported by laboratory studies, which may lead to suboptimal clinical outcomes. The study aimed to determine the frequency of admixtures used in clinical practice without compatibility data generated by laboratory studies, and thereby identifying the most commonly prescribed admixtures that require laboratory data, which can help to guide the prioritization of future testing.
Methods: This study was conducted across five palliative care services (three inpatients and two communities) in Victoria, Australia between May and July 2021. Electronic or paper medication charts of CSCIs were reviewed across all participating sites for all infusions administered. Data collected included medication combinations, dose, diluent, fnal volume, duration of infusion, reports of infusion-related reactions, and observed incompatibility.
Key findings: A total of 616 infusions containing two to three medications were assessed. Only 60% of these infusions were validated by laboratory data. Eleven most commonly prescribed admixtures with no laboratory compatibility data were identified over the 3-month period.
Conclusion: Laboratory testing for the identified admixtures should be advocated to promote the safe and effective use of these medications
Episode 3: Neo-liberalism, Mainstreaming and the Dismantlement of ATSIC
No full textInefficiency and confusion, Aboriginal people vulnerable and voiceless.https://researchonline.nd.edu.au/fighting_for_aboriginal_self_determination/1002/thumbnail.jp
A spiritual theology of integral human development: To “grow in holiness”
No full textThe article identifies the nature of integral human development as a Christian imperative and an incarnational life of responsibility for others. To grow in holiness through the truth of the Gospel signifies overcoming the egoism of the self, being generous in responsibility (love in truth), and discovering a beatitude of hope to become sons and daughters of God (truth in love). Engaging truth in the light of history, evil, and death, the article proceeds to relate the encounter of the soul with “the depths of God” (1 Cor 2:10) to learn from the Spirit a life aimed for the common good. The path to “the depths of God” is one of hope to encounter the vulnerability of the other and oneself, a journey into boldness, newness, and redemption with Christ towards the face of the forsaken and poor. Integral human development, a pathway of peace and healing “to the far and the near” (Isa 57:19), is otherwise than an evasion of love and responsibility. For in the proclamation and witness that “God is love” (1 Jn 4:16) lies the hope to build the earthly city of God and herald an end to war, indifference, and hatred of others
Setting Our Hearts Upon the Deep: Acknowledging Lament in Christian Life, Worship, and Thought
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‘Community Mobilization for Violence Prevention and Wellness with Indigenous Communities in Canada’
No full textFor over 30 years, the Canadian Red Cross has been invited into Indigenous communities in Canada to support them in mobilizing to prevent violence and promote wellness. Over the past 12 years, we have collaborated with eleven Indigenous communities to understand community mobilization processes in moving from the violence of colonialism to wellness. Based on knowledge shared by communities, we have developed a Community Journey to Wellness model, a Starting Place Story resource, a timeline of harms experienced by Indigenous communities over the past 500 years, and community mobilization programming. We are eager to describe our learning through this collaborative research with communities and to learn about the Australian experiences in walking alongside Indigenous communities