- Watson, Robert, McDonald, John, Pearce, Dora
- Authors: Watson, Robert , McDonald, John , Pearce, Dora
- Date: 2006
- Type: Text , Journal article
- Relation: British Journal of Guidance & Counselling Vol. 34, no. 4 (Nov 2006), p. 471-482
- Full Text:
- Reviewed:
- Description: Lifeline Australia Inc. provides a free 24-hour telephone counselling and referral service to all Australians. The trained telephone counsellors of the service record information on many of their calls in Lifeline's Client Service Management Information System (CSMIS). This paper presents a descriptive summary of a national CSMIS data set, which was compiled during a 3-month period in 2003. The CSMIS data provided a clear national profile of the callers to the service. The results of this study support the hypothesis that callers are generally seeking social support from the service. The discussion explores the implications of this finding for Lifeline and other generalist counselling and referral services and their capacity to offer suicide intervention to the community.
- Description: C1
- Description: 2003001998
Arsenic microdistribution and speciation in toenail clippings of children living in a historic gold mining area
- Pearce, Dora, Dowling, Kim, Gerson, Andrea, Sim, Malcolm, Sutton, Stephen, Newville, Matthew, Russell, Robert, McOrist, Gordon
- Authors: Pearce, Dora , Dowling, Kim , Gerson, Andrea , Sim, Malcolm , Sutton, Stephen , Newville, Matthew , Russell, Robert , McOrist, Gordon
- Date: 2010
- Type: Text , Journal article
- Relation: Science of the Total Environment Vol. 408, no. 12 (2010), p. 2590-2599
- Full Text:
- Reviewed:
- Description: Arsenic is naturally associated with gold mineralisation and elevated in some soils and mine waste around historical gold mining activity in Victoria, Australia. To explore uptake, arsenic concentrations in children's toenail clippings and household soils were measured, and the microdistribution and speciation of arsenic in situ in toenail clipping thin sections investigated using synchrotron-based X-ray microprobe techniques. The ability to differentiate exogenous arsenic was explored by investigating surface contamination on cleaned clippings using depth profiling, and direct diffusion of arsenic into incubated clippings. Total arsenic concentrations ranged from 0.15 to 2.1
- Authors: Pearce, Dora , Dowling, Kim , Gerson, Andrea , Sim, Malcolm , Sutton, Stephen , Newville, Matthew , Russell, Robert , McOrist, Gordon
- Date: 2010
- Type: Text , Journal article
- Relation: Science of the Total Environment Vol. 408, no. 12 (2010), p. 2590-2599
- Full Text:
- Reviewed:
- Description: Arsenic is naturally associated with gold mineralisation and elevated in some soils and mine waste around historical gold mining activity in Victoria, Australia. To explore uptake, arsenic concentrations in children's toenail clippings and household soils were measured, and the microdistribution and speciation of arsenic in situ in toenail clipping thin sections investigated using synchrotron-based X-ray microprobe techniques. The ability to differentiate exogenous arsenic was explored by investigating surface contamination on cleaned clippings using depth profiling, and direct diffusion of arsenic into incubated clippings. Total arsenic concentrations ranged from 0.15 to 2.1
Asymptomatic carotid stenosis is associated with circadian and other variability in embolus detection
- Abbott, Anne, Merican, Julia, Pearce, Dora, Juric, Ana, Worsnop, Christopher
- Authors: Abbott, Anne , Merican, Julia , Pearce, Dora , Juric, Ana , Worsnop, Christopher
- Date: 2019
- Type: Text , Journal article
- Relation: Frontiers in Neurology Vol. 10, no. (2019), p.
- Full Text:
- Reviewed:
- Description: Background and Purpose: Variability in transcranial Doppler (TCD) detection of embolic signals (ES) is important for risk stratification. We tested the effect of time of day on ES associated with 60–99% asymptomatic carotid stenosis. Materials and Methods: Subjects were from the Asymptomatic Carotid Stenosis Embolus Detection (ASED) Study such that half were previously ES-positive and half ES-negative with 6-monthly 60-min TCD monitoring. All underwent bilateral TCD monitoring for two 12-h sessions separated by 24 h. ES detection rates were calculated using 6 and 4-h intervals from midnight and effective TCD monitoring time. Results: Ten subjects (8 male, mean age 79.5 years) were monitored. Over 24 h, 5/10 study arteries with 60–99% asymptomatic carotid stenosis were ES-positive (range 1–28 ES/artery, 56 total ES from 177.9 total effective monitoring hours). The remaining five study arteries and all eight successfully monitored contralateral arteries were ES-negative. Using 6-h intervals the mean ES detection rate peaked at 0600-midday (0.64/h) and was lowest 1800-midnight (0.09/h) with an incidence rate ratio of 7.26 (95% CI 2.52–28.64, P ≤ 0.001). Using 4-h intervals the mean ES detection rate peaked at 0800-midday (0.64/h) and was lowest midnight-0400 (0.12/h) with an incidence rate ratio of 5.51 (95% CI 1.78–22.67, P = 0.001). Conclusions: Embolism associated with asymptomatic carotid stenosis shows circadian variation with highest rates 4–6 h before midday. This corresponds with peak circadian incidence of stroke and other vascular complications. These and ASED Study results show that monitoring frequency, duration, and time of day are important in ES detection. © Copyright © 2019 Abbott, Merican, Pearce, Juric, Worsnop, Foster and Chambers.
- Authors: Abbott, Anne , Merican, Julia , Pearce, Dora , Juric, Ana , Worsnop, Christopher
- Date: 2019
- Type: Text , Journal article
- Relation: Frontiers in Neurology Vol. 10, no. (2019), p.
- Full Text:
- Reviewed:
- Description: Background and Purpose: Variability in transcranial Doppler (TCD) detection of embolic signals (ES) is important for risk stratification. We tested the effect of time of day on ES associated with 60–99% asymptomatic carotid stenosis. Materials and Methods: Subjects were from the Asymptomatic Carotid Stenosis Embolus Detection (ASED) Study such that half were previously ES-positive and half ES-negative with 6-monthly 60-min TCD monitoring. All underwent bilateral TCD monitoring for two 12-h sessions separated by 24 h. ES detection rates were calculated using 6 and 4-h intervals from midnight and effective TCD monitoring time. Results: Ten subjects (8 male, mean age 79.5 years) were monitored. Over 24 h, 5/10 study arteries with 60–99% asymptomatic carotid stenosis were ES-positive (range 1–28 ES/artery, 56 total ES from 177.9 total effective monitoring hours). The remaining five study arteries and all eight successfully monitored contralateral arteries were ES-negative. Using 6-h intervals the mean ES detection rate peaked at 0600-midday (0.64/h) and was lowest 1800-midnight (0.09/h) with an incidence rate ratio of 7.26 (95% CI 2.52–28.64, P ≤ 0.001). Using 4-h intervals the mean ES detection rate peaked at 0800-midday (0.64/h) and was lowest midnight-0400 (0.12/h) with an incidence rate ratio of 5.51 (95% CI 1.78–22.67, P = 0.001). Conclusions: Embolism associated with asymptomatic carotid stenosis shows circadian variation with highest rates 4–6 h before midday. This corresponds with peak circadian incidence of stroke and other vascular complications. These and ASED Study results show that monitoring frequency, duration, and time of day are important in ES detection. © Copyright © 2019 Abbott, Merican, Pearce, Juric, Worsnop, Foster and Chambers.
Cancer incidence and soil arsenic exposure in a historical gold mining area in Victoria, Australia : A geospatial analysis
- Pearce, Dora, Dowling, Kim, Sim, Malcolm
- Authors: Pearce, Dora , Dowling, Kim , Sim, Malcolm
- Date: 2012
- Type: Text , Journal article
- Relation: Journal of Exposure Science and Environmental Epidemiology Vol. 22, no. 3 (2012), p. 248-257
- Full Text:
- Reviewed:
- Description: Soil and mine waste around historical gold mining sites may have elevated arsenic concentrations. Recent evidence suggests some systemic arsenic absorption by residents in the goldfields region of Victoria, Australia. Victorian Cancer Registry and geochemical data were accessed for an ecological geographical correlation study, 1984-2003. Spatial empirical Bayes smoothing was applied when estimating standardised incidence ratios (SIRs) for cancers in 61 statistical local areas. The derived soil arsenic exposure metric ranged from 1.4 to 1857 mg/kg. Spatial autoregressive modelling detected increases in smoothed SIRs for all cancers of 0.05 (95% confidence interval (CI), 0.02-0.08) and 0.04 (0.01-0.07) per 2.7-fold increase in the natural log-transformed exposure metric for males and females, respectively, in more socioeconomically disadvantaged areas; for melanoma in males (0.05 (0.01-0.08) adjusted for disadvantage) and females (0.05 (0.02-0.09) in disadvantaged areas). Excess risks were estimated for all cancers (relative risk 1.21 (95% CI, 1.15-1.27) and 1.08 (1.03-1.14)), and melanoma (1.52 (1.25-1.85) and 1.29 (1.08-1.55)), for males and females, respectively, in disadvantaged areas in the highest quintile of the exposure metric relative to the lowest. Our findings suggest small but significant increases in past cancer risk associated with increasing soil arsenic in socioeconomically disadvantaged areas and demonstrate the robustness of this geospatial approach. Journal of Exposure Science and Environmental Epidemiology advance online publication, 21 March 2012.
- Authors: Pearce, Dora , Dowling, Kim , Sim, Malcolm
- Date: 2012
- Type: Text , Journal article
- Relation: Journal of Exposure Science and Environmental Epidemiology Vol. 22, no. 3 (2012), p. 248-257
- Full Text:
- Reviewed:
- Description: Soil and mine waste around historical gold mining sites may have elevated arsenic concentrations. Recent evidence suggests some systemic arsenic absorption by residents in the goldfields region of Victoria, Australia. Victorian Cancer Registry and geochemical data were accessed for an ecological geographical correlation study, 1984-2003. Spatial empirical Bayes smoothing was applied when estimating standardised incidence ratios (SIRs) for cancers in 61 statistical local areas. The derived soil arsenic exposure metric ranged from 1.4 to 1857 mg/kg. Spatial autoregressive modelling detected increases in smoothed SIRs for all cancers of 0.05 (95% confidence interval (CI), 0.02-0.08) and 0.04 (0.01-0.07) per 2.7-fold increase in the natural log-transformed exposure metric for males and females, respectively, in more socioeconomically disadvantaged areas; for melanoma in males (0.05 (0.01-0.08) adjusted for disadvantage) and females (0.05 (0.02-0.09) in disadvantaged areas). Excess risks were estimated for all cancers (relative risk 1.21 (95% CI, 1.15-1.27) and 1.08 (1.03-1.14)), and melanoma (1.52 (1.25-1.85) and 1.29 (1.08-1.55)), for males and females, respectively, in disadvantaged areas in the highest quintile of the exposure metric relative to the lowest. Our findings suggest small but significant increases in past cancer risk associated with increasing soil arsenic in socioeconomically disadvantaged areas and demonstrate the robustness of this geospatial approach. Journal of Exposure Science and Environmental Epidemiology advance online publication, 21 March 2012.
Health effects associated with inhalation of airborne arsenic arising from mining operations
- Martin, Rachael, Dowling, Kim, Pearce, Dora, Sillitoe, Jim, Florentine, Singarayer
- Authors: Martin, Rachael , Dowling, Kim , Pearce, Dora , Sillitoe, Jim , Florentine, Singarayer
- Date: 2014
- Type: Text , Journal article
- Relation: Geosciences (Switzerland) Vol. 4, no. 3 (2014), p. 128-175
- Full Text:
- Reviewed:
- Description: Arsenic in dust and aerosol generated by mining, mineral processing and metallurgical extraction industries, is a serious threat to human populations throughout the world. Major sources of contamination include smelting operations, coal combustion, hard rock mining, as well as their associated waste products, including fly ash, mine wastes and tailings. The number of uncontained arsenic-rich mine waste sites throughout the world is of growing concern, as is the number of people at risk of exposure. Inhalation exposures to arsenic-bearing dusts and aerosol, in both occupational and environmental settings, have been definitively linked to increased systemic uptake, as well as carcinogenic and non-carcinogenic health outcomes. It is therefore becoming increasingly important to identify human populations and sensitive sub-populations at risk of exposure, and to better understand the modes of action for pulmonary arsenic toxicity and carcinogenesis. In this paper we explore the contribution of smelting, coal combustion, hard rock mining and their associated waste products to atmospheric arsenic. We also report on the current understanding of the health effects of inhaled arsenic, citing results from various toxicological, biomedical and epidemiological studies. This review is particularly aimed at those researchers engaged in the distinct, but complementary areas of arsenic research within the multidisciplinary field of medical geology. © 2014 by the authors; licensee MDPI, Basel, Switzerland.
- Authors: Martin, Rachael , Dowling, Kim , Pearce, Dora , Sillitoe, Jim , Florentine, Singarayer
- Date: 2014
- Type: Text , Journal article
- Relation: Geosciences (Switzerland) Vol. 4, no. 3 (2014), p. 128-175
- Full Text:
- Reviewed:
- Description: Arsenic in dust and aerosol generated by mining, mineral processing and metallurgical extraction industries, is a serious threat to human populations throughout the world. Major sources of contamination include smelting operations, coal combustion, hard rock mining, as well as their associated waste products, including fly ash, mine wastes and tailings. The number of uncontained arsenic-rich mine waste sites throughout the world is of growing concern, as is the number of people at risk of exposure. Inhalation exposures to arsenic-bearing dusts and aerosol, in both occupational and environmental settings, have been definitively linked to increased systemic uptake, as well as carcinogenic and non-carcinogenic health outcomes. It is therefore becoming increasingly important to identify human populations and sensitive sub-populations at risk of exposure, and to better understand the modes of action for pulmonary arsenic toxicity and carcinogenesis. In this paper we explore the contribution of smelting, coal combustion, hard rock mining and their associated waste products to atmospheric arsenic. We also report on the current understanding of the health effects of inhaled arsenic, citing results from various toxicological, biomedical and epidemiological studies. This review is particularly aimed at those researchers engaged in the distinct, but complementary areas of arsenic research within the multidisciplinary field of medical geology. © 2014 by the authors; licensee MDPI, Basel, Switzerland.
Prevalence and risk factors of ischaemic stroke in the young : a regional Australian perspective
- Siriratnam, Pakeeran, Godfrey, Amelia, O’Connor, Ellie, Pearce, Dora, Hu, Chih, Low, Ashlea, Hair, Casey, Oqueli, Ernesto, Sharma, Anand, Kraemer, Thomas, Sahathevan, Ramesh
- Authors: Siriratnam, Pakeeran , Godfrey, Amelia , O’Connor, Ellie , Pearce, Dora , Hu, Chih , Low, Ashlea , Hair, Casey , Oqueli, Ernesto , Sharma, Anand , Kraemer, Thomas , Sahathevan, Ramesh
- Date: 2020
- Type: Text , Journal article
- Relation: Internal Medicine Journal Vol. 50, no. 6 (2020), p. 698-704
- Full Text:
- Reviewed:
- Description: Background: There is no universally accepted age cut-off for defining young strokes. Aims: We aimed to determine, based on the profile of young stroke patients in our regional centre, an appropriate age cut-off for young strokes. Methods: A retrospective analysis of all ischaemic stroke patients admitted to our centre from 2015 to 2017. We identified 391 ischaemic stroke patients; 30 patients between the ages of ≤50, 40 between 51–60 inclusive and 321 ≥ 61 years of age. We collected data on demographic profiles, risk factors and stroke classification using the Trial of Org 10 172 in Acute Stroke Treatment criteria. Results: We found significant differences between the ≤50 and ≥61 age groups for most of the risk factors and similarities between the 51–60 inclusive and ≥ 61 age groups. At least one of the six risk factors assessed in the study was present in 86.7% of the youngest group, 97.5% of the intermediate age group and 97.2% in the oldest group. In terms of the mechanisms of stroke, the youngest and oldest age groups in our study differed in the prevalence of cryptogenic, cardioembolic and other causes of stroke. The middle and older age groups had similar mechanisms of stroke. Conclusions: The prevalence of vascular risk factors and mechanisms of stroke likewise differed significantly across age groups. This study suggests that 50 years is an appropriate age cut-off for defining young strokes and reinforces the importance of primary prevention in all age groups. © 2019 Royal Australasian College of Physicians
- Authors: Siriratnam, Pakeeran , Godfrey, Amelia , O’Connor, Ellie , Pearce, Dora , Hu, Chih , Low, Ashlea , Hair, Casey , Oqueli, Ernesto , Sharma, Anand , Kraemer, Thomas , Sahathevan, Ramesh
- Date: 2020
- Type: Text , Journal article
- Relation: Internal Medicine Journal Vol. 50, no. 6 (2020), p. 698-704
- Full Text:
- Reviewed:
- Description: Background: There is no universally accepted age cut-off for defining young strokes. Aims: We aimed to determine, based on the profile of young stroke patients in our regional centre, an appropriate age cut-off for young strokes. Methods: A retrospective analysis of all ischaemic stroke patients admitted to our centre from 2015 to 2017. We identified 391 ischaemic stroke patients; 30 patients between the ages of ≤50, 40 between 51–60 inclusive and 321 ≥ 61 years of age. We collected data on demographic profiles, risk factors and stroke classification using the Trial of Org 10 172 in Acute Stroke Treatment criteria. Results: We found significant differences between the ≤50 and ≥61 age groups for most of the risk factors and similarities between the 51–60 inclusive and ≥ 61 age groups. At least one of the six risk factors assessed in the study was present in 86.7% of the youngest group, 97.5% of the intermediate age group and 97.2% in the oldest group. In terms of the mechanisms of stroke, the youngest and oldest age groups in our study differed in the prevalence of cryptogenic, cardioembolic and other causes of stroke. The middle and older age groups had similar mechanisms of stroke. Conclusions: The prevalence of vascular risk factors and mechanisms of stroke likewise differed significantly across age groups. This study suggests that 50 years is an appropriate age cut-off for defining young strokes and reinforces the importance of primary prevention in all age groups. © 2019 Royal Australasian College of Physicians
Spatial modelling of the relationship between respiratory admissions and ambient air pollution
- Authors: Pearce, Dora
- Date: 2002
- Type: Text , Thesis , Masters
- Full Text:
- Description: "The aims of this research were to investigate the association between air pollution and respiratory health effects using a spatial approach, and to derive a composite indicator of ambient air pollution."
- Description: Master of Information Technology by Research
- Authors: Pearce, Dora
- Date: 2002
- Type: Text , Thesis , Masters
- Full Text:
- Description: "The aims of this research were to investigate the association between air pollution and respiratory health effects using a spatial approach, and to derive a composite indicator of ambient air pollution."
- Description: Master of Information Technology by Research
The accessibility/remoteness index of Australia (ARIA) and lifeline Australia's calls
- Watson, Robert, McDonald, John, Pearce, Dora
- Authors: Watson, Robert , McDonald, John , Pearce, Dora
- Date: 2005
- Type: Text , Conference paper
- Relation: Paper presented at the 8th National Rural Health Conference, Alice Springs : 10th - 13th March, 2005
- Full Text:
- Reviewed:
- Description: Nationally there are more than 50 member centres and sub-centres of Lifeline Australia’s telephone counselling and referral service, providing an equitable, free, anonymous, and highly accessible primary health resource. The accessibility of this service may mean that it has a particularly important role to play in contributing to the health and well-being of rural and remote Australians. The trained volunteer counsellors of the service receive more than 400 000 calls annually. Information on many of these calls is recorded by telephone counsellors in Lifeline’s Client Service Management Information System (CSMIS). The purpose of this study was to establish if a relationship between the Accessibility/Remoteness Index of Australia (ARIA) and calls to Lifeline Australia could be found. Population standardised areal call rates to Lifeline Ballarat were compiled using Telstra exchange service area to test the hypothesis that a positive relationship between the call rates to the service and the ARIA would be found. 90 128 CSMIS cases from 2003 were examined to explore if any linear relationship between caller characteristics and a centre’s ARIA score were apparent. A number of significant associations with the ARIA scores and CSMIS call variables were observed. However, the hypothesis that a positive relationship between call rates to the service and the ARIA would be found was not supported. An important implication of this exploratory study is that Lifeline’s telephone counselling and referral service may need to be promoted more widely to rural clients and health care providers.
- Description: E1
- Description: 2003001236
- Authors: Watson, Robert , McDonald, John , Pearce, Dora
- Date: 2005
- Type: Text , Conference paper
- Relation: Paper presented at the 8th National Rural Health Conference, Alice Springs : 10th - 13th March, 2005
- Full Text:
- Reviewed:
- Description: Nationally there are more than 50 member centres and sub-centres of Lifeline Australia’s telephone counselling and referral service, providing an equitable, free, anonymous, and highly accessible primary health resource. The accessibility of this service may mean that it has a particularly important role to play in contributing to the health and well-being of rural and remote Australians. The trained volunteer counsellors of the service receive more than 400 000 calls annually. Information on many of these calls is recorded by telephone counsellors in Lifeline’s Client Service Management Information System (CSMIS). The purpose of this study was to establish if a relationship between the Accessibility/Remoteness Index of Australia (ARIA) and calls to Lifeline Australia could be found. Population standardised areal call rates to Lifeline Ballarat were compiled using Telstra exchange service area to test the hypothesis that a positive relationship between the call rates to the service and the ARIA would be found. 90 128 CSMIS cases from 2003 were examined to explore if any linear relationship between caller characteristics and a centre’s ARIA score were apparent. A number of significant associations with the ARIA scores and CSMIS call variables were observed. However, the hypothesis that a positive relationship between call rates to the service and the ARIA would be found was not supported. An important implication of this exploratory study is that Lifeline’s telephone counselling and referral service may need to be promoted more widely to rural clients and health care providers.
- Description: E1
- Description: 2003001236
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