A5005606236- Emergency and Acute Care Studies
- Opioid Use Disorder Treatment
- Forensic Toxicology and Drug Analysis
- Global Maternal and Child Health
- Substance Abuse Treatment and Outcomes
- Trauma and Emergency Care Studies
- HIV, Drug Use, Sexual Risk
- Healthcare Policy and Management
- Prion Diseases and Protein Misfolding
- HIV/AIDS Research and Interventions
- Metallurgy and Material Science
- Sex work and related issues
- Alcohol Consumption and Health Effects
- Intimate Partner and Family Violence
- Community Development and Social Impact
- demographic modeling and climate adaptation
- Family and Disability Support Research
- Nursing Roles and Practices
- Disaster Management and Resilience
- Homelessness and Social Issues
- Migration, Health and Trauma
- Healthcare Systems and Reforms
- Healthcare innovation and challenges
- Poisoning and overdose treatments
- Healthcare Systems and Technology
UNSW Sydney
2013-2025
National Centre for Clinical Research on Emerging Drugs
2021-2024
Auckland University of Technology
2024
The University of Melbourne
2024
University of Wollongong
2024
Western Sydney University
2018-2019
Ingham Institute
2018-2019
Liverpool Hospital
2018-2019
Aarhus University
2019
The University of Sydney
2006-2018
Abstract Aims To describe (i) self‐reported changes in drug use and (ii) trends price, perceived availability, purity of illicit drugs, among people who regularly ecstasy/ 3,4‐methylenedioxymethamphetamine (MDMA) other stimulants Australia following COVID‐19 associated restrictions. Design Annual interviews with cross‐sectional sentinel samples conducted face‐to‐face 2016–19 via video conferencing or telephone 2020. Data were collected an interviewer‐administered structured questionnaire....
Changes to drug markets can affect use and related harms. We aimed describe market trends of heroin, methamphetamine, cocaine ecstasy in Australia following the introduction COVID-19 pandemic-associated restrictions. Australians residing capital cities who regularly inject drugs (n ∼= 900 each year) or and/or other illicit stimulants 800 participated annual interviews 2014-2022. used self-reported indicators (price, availability, purity) for crystal cocaine, estimate generalised additive...
Abstract Introduction To describe trends in methamphetamine use, markets and harms Australia from 2003 to 2019. Methods Data comprised patterns of use price sentinel samples people who inject drugs MDMA/other illicit stimulants population‐level amphetamine‐related police seizures, arrests, hospitalisations, treatment episodes deaths approximately Bayesian autoregressive time‐series models were analysed for: no change; constant rate change over time differing after one three changepoints....
Routine screening of women for intimate partner violence (IPV) has been introduced in many health settings to improve identification and responsiveness hidden abuse. This cross-sectional study aimed understand more about how use programmes disclose access information services. It follows screened ten Australian care settings, covering antenatal, drug alcohol mental Two samples were surveyed between March 2007 July 2008; those who reported abuse during 6 months previously (122) did not report...
Abstract Background Little is known about the health and well‐being of ‘hidden majority’ parents with mild intellectual disability (ID), who are less likely to be in contact services. Method We sought add knowledge this area by examining living conditions without impairment a large contemporary nationally representative sample UK aged between 16 49 years old ( n = 14 371). Results Our results indicated that, as expected, were at significantly greater risk than other having poorer...
Previous research reported strong associations between ED overcrowding and mortality. We assessed the effect of Four-Hour Rule (4HR) intervention (Western Australia (WA) 2009), then nationally rolled out as National Emergency Access Target (Australia 2012) policy on mortality patient flow.A longitudinal cohort study a population-wide 4HR, for 16 hospitals across WA, New South Wales (NSW), Australian Capital Territory (ACT) Queensland (QLD). Mortality trends were analysed 2-4 years before...
This evaluative study measured self-reported changes in abuse-related measures six months after routine screening for intimate partner violence. Participants were 122 women who disclosed abuse and 241 did not report abuse, screened antenatal, substance mental health services according to an existing standardized protocol used New South Wales, Australia. Six initial screening, abused more likely increased agreement with a number of attitudes relating particular that being hurt by affects...
Background In 2009, the Western Australian (WA) Government introduced Four-Hour Rule (FHR) program. The policy stated that most patients presenting to Emergency Departments (EDs) were be seen and either admitted, transferred, or discharged within 4 hours. This study utilised de-identified data from five participating hospitals, before after FHR implementation, assess impact of on several areas ED functioning. Methods A state population-based intervention design, using longitudinal obtained...
In 2014, Indonesia launched a single payer national health insurance scheme with the aim of covering entire population by 2024. The objective this paper is to assess equity which contributions financing system were distributed in over 2015 - 2019.This study secondary analysis nationally representative data from National Socioeconomic Survey (2015 2019). relative progressivity each source and overall was determined using summary score, Kakwani index.Around third sourced out-of-pocket (OOP)...
Intimate partner violence (IPV) is highly prevalent globally, with increased risk for women in situations of conflict, post conflict and resettlement. The Safety Health after Arrival (SAHAR) study tested IPV screening accessing settlement services New South Wales, Australia, using the validated ACTS tool, along brief response involving assessment, safety planning referral. A three month follow-up telephone survey was administered to who had attended four participating sites which delivered...
Cholera is newly emergent in Papua New Guinea but may soon become endemic. Identifying the risk factors for cholera provides evidence targeted prevention and control measures.We conducted a hospital-based case-control study to identify factors. Using stool culture as standard, we evaluated point of care test field.176 participants were recruited: 54 cases 122 controls. Independent were: being over 20 years age (aOR 2.5; 95%CI 1.1, 5.4), defecating open air (or river) 4.5; 95% CI 1.4, 14.4)...
Abstract Introduction This paper aims to describe cocaine use, markets and harms in Australia from 2003 2019. Methods Outcome indicators comprised prevalence of use triennial household surveys; patterns annual surveys sentinel samples who stimulants; cocaine‐related seizures, arrests, hospitalisations, deaths treatment episodes. Bayesian autoregressive time‐series analyses were conducted estimate trend over time: Model 1, no change; 2, constant rate 3, change time differing after one point....
The Four-Hour Rule or National Emergency Access Target policy (4HR/NEAT) was implemented by Australian State and Federal Governments between 2009 2014 to address increased demand, overcrowding access block (boarding) in Departments (EDs). This qualitative study aimed assess the impact of 4HR/NEAT on ED staff attitudes perceptions. article is part a series manuscripts reporting results this project. methodology has been published journal. As discussed methods paper, we interviewed 119...
Abstract Introduction We examined trends in Australian treatment episodes for smoking and injecting methamphetamine from 2003 to 2019. Methods Data the Alcohol Other Drug Treatment National Minimum Set, where amphetamines were principal drug of concern, analysed Rates calculated per 100 000 population aged 10–100 years. Joinpoint software was used identify changepoints estimate annual percentage change (APC) rate episodes. episode characteristics compared versus Results The increased 77 262...
Background Parenting by people with intellectual disability is attracting increasing attention, and policymakers service providers require empirical evidence to develop sound policy responses. The purpose of the study was identify prevalence demographic data on parents ID in Australia compared other disabilities population without disability.Method Survey Disability, Ageing Carers, 2009, identified as most suitable survey, design-weighted analysis performed.Results An estimated 0.41%...
Polysubstance use is associated with negative health and social outcomes among people who inject drugs. We aimed to describe trends in polysubstance identify psychosocial correlates drug risk behaviours. defined as intentional same day of more than one three classes: opioids, other non-opioid depressants (hereafter 'depressants'), stimulants.We used 10 years (2012-2022, excluding 2020) data from annual surveys Australian capital cities drugs (N=5657) construct five mutually exclusive...
The prevention of intimate partner transmission HIV remains an important component comprehensive strategies. In this paper we examine the sexual practices people living with on antiretroviral therapy (ART) in Papua New Guinea (PNG).In 2008, a total 374 HIV-positive over age 16 and ART for more than two weeks were recruited using non-probability, convenience sampling methodology. This accounted around 18% adults at time. A further 36 participated semi-structured interviews. All interviews...
The objective of this study was to investigate and estimate the associations ovine prion protein (PrP) genotypes with a wide range performance traits in Scottish Blackface lambs. Performance records up 7,138 sheep known PrP born from 1999 2004 2 experimental farms were utilized. studied BW at birth, marking (when identified permanent ear tags an average age 52 d), weaning (average 107 d); slaughter (BW slaughter, age, carcass weight, conformation); ultrasonic muscle fat depths; computerized...
Older adults with osteoarthritis have been found to be impaired in physical functioning and report higher levels of depression. This study examined the relationships between pain, functional disability, depression test activity restriction model a cohort 176 older China. states that disability is mediator for relationship pain Other investigators were two independent correlates In both cross-sectional longitudinal analyses, authors mediator, using commonly accepted methods (indirect effect...
Abstract Objective To evaluate the impact of Australian National Emergency Access Target (NEAT) policy introduced in 2012 on ED performance. Methods A longitudinal cohort study NEAT implementation using linked data, for 12 EDs across New South Wales (NSW), Capital Territory (ACT) and Queensland (QLD) between 2008 2013. Segmented regression a multi‐level model was used to analyse performance over time before after introduction. The main outcomes measures were length stay ≤4 h, access block,...