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Search Results: 1 - 10 of 3836 matches for " Alexandra McManus "
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All You need you know about clinical research: A quick reference guide on clinical research
Alexandra McManus
Australasian Medical Journal , 2012,
Abstract: .
Study of knowledge, perception and attitude of adolescent girls towards STIs/HIV, safer sex and sex education: (A cross sectional survey of urban adolescent school girls in South Delhi, India)
Alexandra McManus, Lipi Dhar
BMC Women's Health , 2008, DOI: 10.1186/1472-6874-8-12
Abstract: A cross sectional study was carried out in 2007 in South Delhi, India to investigate the perception, knowledge and attitude of adolescent urban schoolgirls towards sexually transmitted Infections (STIs), HIV/AIDS, safer sex practice and sex education. the self-administered questionnaire was completed by 251 female students from two senior secondary schools.More than one third of students in this study had no accurate understanding about the signs and symptoms of STIs other than HIV/AIDS. About 30% of respondents considered HIV/AIDS could be cured, 49% felt that condoms should not be available to youth, 41% were confused about whether the contraceptive pill could protect against HIV infection and 32% thought it should only be taken by married women.Though controversial, there is an immense need to implement gender-based sex education regarding STIs, safe sex options and contraceptives in schools in IndiaSexually Transmitted Infections (STI's), including HIV (Human Immunodeficiency Virus) mainly affects sexually active young people. Young adults aged 15–29 years, account for 32% of AIDS (Acquired Immunodeficiency Syndrome) cases reported in India and the number of young women living with HIV/AIDS is twice that of young men [1]. Causes of the increased rates of STIs/HIV in young people are complex, however, the main reasons include biological factors, risky sexual behaviour patterns (early initiation of sex, premarital sex, bisexual orientation and multiple sexual partners), transmission dynamics and treatment-seeking behaviour [2]. There is growing evidence of increased premarital sexual activities among young people. While generalisation is difficult, studies indicate that between 20% and 30% of young men and up to 10% of young women have premarital sexual experiences. Women, have a higher incidence of STIs than men because of their greater biological susceptibility [3]. The present dearth of STI education in India is a major concern, particularly in schools.Informat
Western Australian food security project
Alexandra McManus, Graham Brown, Bruce Maycock
BMC Public Health , 2007, DOI: 10.1186/1471-2458-7-214
Abstract: A comprehensive food audit survey was provided to all food outlet owners/operators in one lower socio-economic region within the City of Mandurah (n = 132 outlets). The purpose of the survey was to investigate the range, variety and availability of foods in the Mandurah region as well as examining specific in-store characteristics such as the types of clientele and in-store promotions offered. Surveys were competed for 99 outlets (response rate = 75%).The range of foods available were predominantly pre-prepared with more than half of the outlets pre-preparing the majority of their food. Sandwiches and rolls were the most popular items sold in the outlets surveyed (n = 51 outlets) followed by pastries such as pies, sausage rolls and pasties (n = 33 outlets). Outlets considered their healthiest food options were sandwiches or rolls (n = 51 outlets), salads (n- = 50 outlets), fruit and vegetables (n = 40 outlets), seafood (n = 27 outlets), meats such as chicken (n = 26 outlets and hot foods such as curries, soups or quiches (n = 23 outlets). The majority of outlets surveyed considered pre-prepared food including sandwiches, rolls and salads, as healthy food options regardless of the content of the filling or dressings used. Few outlets (n = 28%) offered a choice of bread type other than white or wholemeal. High fat pastries and dressings were popular client choices (n = 77%) as were carbonated drinks (n = 88%) and flavoured milks (n = 46%).These findings clearly indicate the need for further investigation of the impact of access to quality, healthy foods at reasonable cost (food security) on public health, particularly in lower socio-economic areas.Food is a fundamental physiological need of life [1]. Lack of food security leading to poor dietary intake, affects psychological well being and increases the risk of chronic illness including cardiovascular disease, type 2 diabetes, overweight and obesity, and some cancers [2-6]. Food security refers to physical and economi
“Excessive Drinking—An Inescapable Part of University Life?” A Focus Group Study of Australian Undergraduates  [PDF]
Jonathan Hallett, Alexandra McManus, Bruce R. Maycock, Jennifer Smith, Peter M. Howat
Open Journal of Preventive Medicine (OJPM) , 2014, DOI: 10.4236/ojpm.2014.47071

The university environment reinforces positive alcohol-related expectations and motivations for drinking among undergraduate students. High levels of hazardous consumption in this population lead to significant negative alcohol-related consequences, for individuals and those around them. This study sought to explore the contexts in which those who engage in hazardous drinking consume alcohol, their perceptions of safety and harm, and receptivity to health messages. Undergraduate university students (n = 69; aged 17 - 24 of both genders [57% female]) were purposively recruited into one of seven focus groups after screening with the Alcohol Use Disorders Identification Test (AUDIT) to select for hazardous drinking (score, >8) or moderate drinking. A focus group interview schedule was developed, which was informed by theory and tested for validity by a panel of experts. Qualitative analysis of the data revealed four thematic clusters: positive expectations; inescapable culture; defining situations; and permissible drunkenness. Drinking was associated with various personal and social advantages that reinforced participants’ intentions and/or willingness to drink. Alcohol played a meaningful role in the way in which participants identified with youth and university culture. Economical drinking was prominent, with students constantly negotiating pathways to intoxication within the confines of their budgets. Heavy drinking was viewed as permissible when in the home environment and/or in the company of trusted friends. Most students were unreceptive to health messages, and advice on restricting alcohol consumption seemed to have limited impact on drinking behaviour. Our findings clarify why some university students maintain or increase drinking behaviour despite known negative outcomes and offer useful insights to inform further research and the development of alcohol interventions specifically targeted at students.

Alcohol, tobacco and illicit drug use amongst same-sex attracted women: results from the Western Australian Lesbian and Bisexual Women's Health and Well-Being Survey
Zo? Hyde, Jude Comfort, Alexandra McManus, Graham Brown, Peter Howat
BMC Public Health , 2009, DOI: 10.1186/1471-2458-9-317
Abstract: A self-completed questionnaire exploring a range of health issues was administered to 917 women aged 15-65 years (median 34 years) living in Western Australia, who identified as lesbian or bisexual, or reported having sex with another woman. Participants were recruited from a range of settings, including Perth Pride Festival events (67.0%, n = 615), online (13.2%, n = 121), at gay bars and nightclubs (12.9%, n = 118), and through community groups (6.9%, n = 63). Results were compared against available state and national surveillance data.LBW reported consuming alcohol more frequently and in greater quantities than women in the general population. A quarter of LBW (25.7%, n = 236) exceeded national alcohol guidelines by consuming more than four standard drinks on a single occasion, once a week or more. However, only 6.8% (n = 62) described themselves as a heavy drinker, suggesting that exceeding national alcohol guidelines may be a normalised behaviour amongst LBW. Of the 876 women who provided data on tobacco use, 28.1% (n = 246) were smokers, nearly double the rate in the female population as a whole. One third of the sample (33.6%, n = 308) reported use of an illicit drug in the previous six months. The illicit drugs most commonly reported were cannabis (26.4%, n = 242), meth/amphetamine (18.6%, n = 171), and ecstasy (17.9%, n = 164). Injecting drug use was reported by 3.5% (n = 32) of participants.LBW appear to use alcohol, tobacco and illicit drugs at higher rates than women generally, indicating that mainstream health promotion messages are not reaching this group or are not perceived as relevant. There is an urgent need for public health practitioners working in the area of substance use to recognise that drug consumption and use patterns of LBW are likely to be different to the wider population and that special considerations and strategies are required to address the unique and complex needs of this population.The prevalence of both licit and illicit drug us
Seafood: Nutritional Gold for Seniors
Alexandra McManus,Margaret Merga,Wendy Newton,Avinna Trzesinski
Australasian Medical Journal , 2010,
Abstract: ObjectivesTo conduct a systematic review of published evidence around seafood, health and seniors.MethodData sources reviewing included: Proquest; PubMed; Science Direct; Taylor and Francis; Cochran Collaboration; Web of Knowledge and Web of Science. Key search terms included seniors, ageing, fish, seafood, protein, health and various lifestyle conditions Results A diet high in marine source Omega-3 poly unsaturated fatty acids affords particular benefits for seniors in a reduced risk of all cause mortality, with the strongest evidence around coronary heart disease and ischemic stroke. Other benefits include reduced inflammation associated with arthritis and delay to onset and slowed progression of dementia and Alzheimer’s disease. Conclusion There is increasing evidence to support the regular seafood consumption (particularly oily fish) as being protective against a number of aged-related health conditions. Seniors should be encouraged to consume 3500mg- 4000mg of marine source Omega-3 PUFAs each week.
Factors influencing the consumption of seafood among young children in Perth: a qualitative study
Alexandra McManus, Sharyn K Burns, Peter A Howat, Lisa Cooper, Lynda Fielder
BMC Public Health , 2007, DOI: 10.1186/1471-2458-7-119
Abstract: Purposive sampling techniques were used to select and recruit mothers of children aged between four and six years from within the Perth metropolitan area. A total of seven focus groups were conducted. Thematic content analysis was employed to code data generated and to extract major themes.Findings indicated that all children of study participants had tried fish and seafood products, with some being exposed to a wide variety from an early age. Across focus groups, several dominant factors were apparent in influencing the frequency and type of seafood purchased and consumed. Perceived cost, freshness, availability/accessibility, and the level of confidence to prepare a meal to suit all family members were significant determinants of whether seafood featured regularly on the household menu. The influence of others in the family (particularly the husband or partner) also tended to impact upon the likelihood of serving fish and seafood, and the types of products mothers were willing to serve.Findings from this qualitative study indicate that interventions seeking to promote seafood (particularly fish) as an integral part of a healthy diet should address existing negative attitudes and beliefs around the storage and preparation of seafood. The influence of dominant male influences within the family unit should also be considered. Strategies directed at parents and children should include experimental 'hands-on' components to encourage experimentation, particularly focussing on ease of preparation and the variety of lower cost seafood available.Establishing regular fish consumption as a healthy, cost effective option for families has the potential to impact upon their short and long-term health [1,2]. It also compliments the existing nutritional messages that relate to fruit and vegetables as essential to a healthy diet. Furthermore, the significant increase in cardiovascular diseases, overweight and obesity in childhood and adolescence facilitates the promotion of regula
Elevated Body Mass Index is associated with severity of Allergic Rhinitis: Results from a cross sectional study
Dr Harun Alrasyid,Associate Professor Alexandra McManus,Dr Dominic Mallon,Claire Nicholson
Australasian Medical Journal , 2008,
Abstract: .
Recent Advances in Omega-3: Health Benefits, Sources, Products and Bioavailability
Peter D. Nichols,Alexandra McManus,Kevin Krail,Andrew J. Sinclair,Matt Miller
Nutrients , 2014, DOI: 10.3390/nu6093727
Abstract: The joint symposium of The Omega-3 Centre and the Australasian Section American Oil Chemists Society; Recent Advances in Omega-3: Health Benefits, Sources, Products and Bioavailability, was held November 7, 2013 in Newcastle, NSW, Australia. Over 115 attendees received new information on a range of health benefits, aquaculture as a sustainable source of supply, and current and potential new and novel sources of these essential omega-3 long-chain (LC, ≥C 20) polyunsaturated fatty acid nutrients (also termed LC omega-3). The theme of “Food versus Fuel” was an inspired way to present a vast array of emerging and ground breaking Omega-3 research that has application across many disciplines. Eleven papers submitted following from the Omega-3 Symposium are published in this Special Issue volume, with topics covered including: an update on the use of the Omega-3 Index (O3I), the effects of dosage and concurrent intake of vitamins/minerals on omega-3 incorporation into red blood cells, the possible use of the O3I as a measure of risk for adiposity, the need for and progress with new land plant sources of docosahexaenoic acid (DHA, 22:6ω3), the current status of farmed Australian and New Zealand fish, and also supplements, in terms of their LC omega-3 and persistent organic pollutants (POP) content, progress with cheap carbon sources in the culture of DHA-producing single cell organisms, a detailed examination of the lipids of the New Zealand Greenshell mussel, and a pilot investigation of the purification of New Zealand hoki liver oil by short path distillation. The selection of papers in this Special Issue collectively highlights a range of forward looking and also new and including positive scientific outcomes occurring in the omega-3 field.
Innovation and Co-Creation Process within a Service Context: A Matter of Choice or Necessity?  [PDF]
John McManus, Barry Ardley
Open Journal of Business and Management (OJBM) , 2019, DOI: 10.4236/ojbm.2019.71002
The notion of service ought to be embedded in the psyche of those responsi-ble for the design and delivery of service provision. Within an ever changing landscape, meeting customer expectations is a major priority for firms en-gaged in service provision. Enhancing the service experience lies in the con-text of innovation and entrepreneurship. The focus of innovation within business should take into consideration the unexpected, the nature of incon-gruities, process need and changes to structure. Innovation within service industries is widely recognised among researchers and practitioners as a key to gaining and sustaining competitive advantage. Increasingly, firms within service industries are placing new knowledge at the core of their strategies, especially knowledge about co-creation processes, knowledge of innovation and service design. In this context, the purpose of this paper is to explore the linkages between service development and co-creation processes to better understand the complexity of service innovation. The paper will first outline the notion of service and the context of service innovation. It will present a summarised view for management of service innovation. The paper will then move to illustrating how the creation and use of co-creation processes can be used to provide a shared understanding of what constitutes best practice.
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