http://hdl.handle.net/2440/33619 2020-02-27T11:57:40Z http://hdl.handle.net/2440/122924 Title: “You felt like a prisoner in your own self, trapped”: the experiences of Aboriginal people with acquired communication disorders Author: Armstrong, E.; Coffin, J.; Hersh, D.; Katzenellenbogen, J.; Thompson, S.; Ciccone, N.; Flicker, L.; Woods, D.; Hayward, C.; Dowell, C.; McAllister, M. Abstract: Purpose: Aboriginal Australians are under-represented in brain injury rehabilitation services despite a high incidence of both stroke and traumatic brain injury in this population. This study aimed to explore the experiences of Aboriginal Australian adults with acquired communication disorders (ACDs) after brain injury for the first time to inform the development of accessible and culturally secure service delivery models. Methods and materials: Semi-structured interviews were undertaken with 32 Aboriginal people who had experienced a brain injury resulting in ACDs (aged 35–79 years) and 18 family members/carers across Western Australia. Thematic analysis identified common themes across participants. Results: Overall themes related to communication (both related to the communication disorder and general healthcare interactions), health and social contexts, recovery, and support, being away from family and country, knowledge and beliefs about brain injury, and follow-up. Conclusions: An increase in healthcare staff’s appreciation of the health and social contexts of Aboriginal people after brain injury is needed in order to improve communication with Aboriginal patients and the ability to offer accessible rehabilitation services. Ongoing support is required, with cultural identity noted as key to ensuring cultural security and ultimately recovery. Involvement of family and other Aboriginal people in recovery processes, as well as access to relevant Aboriginal languages and proximity to ancestral lands is central. Implications for rehabilitation Acknowledgment of cultural identity and strengths through involvement of extended family and Aboriginal Hospital Liaison Officers, access to language and proximity to country all central to rehabilitation planning for Aboriginal people after brain injury. Cultural security training for rehabilitation staff is recommended focusing on clear two-way communication skills to make medical information accessible for Aboriginal patients and to listen to patients’ concerns in a way that respects cultural context. Information regarding practical support and implications for ongoing management of life after brain injury (for the person and their family) is essential, and should supplement the medical-related information provided. Follow-up post discharge from hospital best facilitated through establishing contact with local Aboriginal community through Aboriginal community controlled health services, community elders, and Aboriginal health workers across organisations. Description: Published online: 06 Nov 2019 2019-01-01T00:00:00Z http://hdl.handle.net/2440/122783 Title: Prevalence and nature of lung function abnormalities among Indigenous Australians referred to specialist respiratory outreach clinics in the Northern Territory Author: Schubert, J.; Kruavit, A.; Mehra, S.; Wasgewatta, S.; Chang, A.; Heraganahally, S. Abstract: BACKGROUND:Poor lung function is a predictor of future all-cause mortality. In Australia, respiratory diseases are particularly prevalent among the indigenous population, especially in remote communities. However, there are little published pulmonary function tests' (PFT) data of remote-based adult indigenous patients. AIM:To evaluate the severity of airflow obstruction and other PFT abnormalities of adults referred to specialist respiratory clinics in remote indigenous communities. METHODS:Retrospective analysis of PFT (pre- and post-bronchodilator spirometry, total lung capacity (TLC) and diffusing capacity to carbon monoxide (DLCO)) of indigenous patients collected during specialist respiratory clinics in remote Northern Territory (NT) indigenous communities (Australia) between 2013 and 2015. The National Health and Nutrition Examination Survey (NHANES) III without ethnic correction was used as the reference. RESULTS:Of the 357 patients, 150 had acceptable spirometry, and 71 had acceptable DLCO and TLC studies. Despite the relatively young age (mean = 49 years, SD = 12.9), their lung function was generally low; mean % predicted values were FEV1 = 55% (SD = 20.5%), FVC = 61% (SD = 15.6%), DLCO = 64.0% (SD = 19.7%) and TLC = 70.1% (SD = 18.2%). Mean FEV1 /FVC ratio was preserved (0.71, SD = 0.16). Post-bronchodilator airflow obstruction (FEV1 /FVC < 0.7) was observed in 37% of patients, where a large proportion (67%) demonstrated at least a severe airflow obstruction, with a mean FEV1 of 41% predicted. CONCLUSION:In this first study of PFT findings of indigenous adults from a remote-based clinical service, we found a high rate of at least moderate airflow limitation and low FVC along with preserved FEV1/FVC ratio. Increased awareness and screening for reduced lung function needs to be considered in this population. 2019-01-01T00:00:00Z http://hdl.handle.net/2440/118932 Title: Joseph Gumbula, the ancestral chorus, and how we value Indigenous knowledges Author: Corn, A. Abstract: Joseph Neparrŋa Gumbula (1954–2015) had an atypical scholarly trajectory. Born into a long line of Yolŋu leaders in the remote town of Milingimbi in the Arnhem Land Aboriginal Reverse, he left school in his mid-teens for the neighbouring town of Galiwin’ku in 1971, where he joined the country and gospel band, Soft Sands, as a singer and guitarist. Through his passion for making music and admission to Yolŋu ritual leadership in 1997, Gumbula discovered a new calling in researching the documented legacy of his family history in ethnographic collections around the world. This pursuit set him on an unprecedented path towards leading national research grants supported by fellowships at various universities. His research would return to Arnhem Land rare and precious ethnographic materials dating back as far as the edge of living memory in 1920s, and exemplify how Indigenous heritage collections can be grown, managed and made accessible with broad benefits. Paralleling the emergence of affordable digital media technologies, his research interests progressed accordingly from isolated local databases to clouded mobile delivery platforms. The interdisciplinary networks that Gumbula built were far reaching and have left lasting impacts. In this article, I expand upon my Gumbula Memorial Lecture for the 2017 Information Technologies and Indigenous Communities (ITIC) Symposium in Melbourne to explore how Gumbula challenged his students and colleagues to think and work beyond the conventions of disciplinary and professional methodologies, thereby transforming our understandings of knowledge itself and encouraging us to act as proactive agents in the world. 2018-01-01T00:00:00Z http://hdl.handle.net/2440/118169 Title: Formulating a fiscal reaction function for ADAM Author: Ambaw, D.; Knudsen, D. Abstract: We attempt to clarify the formation of interest income and examine the role of a fiscal reaction function in ADAM in keeping the public debt from exploding when there is 1% increase in the public purchase of goods and services and the VAT rate. The paper briefly demonstrates the effectiveness of the proposed fiscal rule in stabilizing the public budget. Description: Working paper 28.1.15 2015-01-01T00:00:00Z