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Bicyclist head injury prevention by helmets and mandatory wearing legislation in Victoria, Australia.

After a decade of promotion and education, legislation for mandatory helmet wearing by bicyclists in Victoria was introduced on 1 July 1990. The legislation was a world first. Comparison of 1710 bicyclist casualties wearing and not wearing helmets has demonstrated that wearing helmets certified to the Australian Standard reduces the head injury risk by at least 39% and lessens head injury severity. Simulated impact testing of helmets has shown that they provide protection in most impacts including collisions involving a motor vehicle. Legislation for mandatory helmet wearing in Victoria has led to increased wearing rates and marked reductions in bicyclist fatalities and head injuries. The Victorian experience gives substantial support to the introduction of legislation for mandatory helmet wearing by bicyclists.

Accidents, Traffic↗

[Role of the Health Services Commissioner in the state of Victoria in Australia].

In 1988 a Health Commissioner (HSC) was established in Victoria, Australia. The role of the HSC is to apply the concept of social justice in the area of health care issues. The HSC is independent of the normal ministerial machinery of government and reports directly to the Victorian Parliament. The HSC is able to investigate complaints about all aspects of health care provision and attempts to settle disputes by conciliation rather than by recourse to the more cumbersome and expensive option of litigation. The HSC is also empowered to make recommendations which would reduce complaints in the future. Significant progress has been made and now similar schemes based on the successful Victorian model are being established elsewhere. At the same time financial constraints in Victoria are preventing the HSC from achieving its full potential as an agency to promote quality health care.

Delivery of Health Care↗

Youth suicide in Victoria: a retrospective study.

OBJECTIVE: To determine the trends in youth suicide in Victoria and Australia as a whole, and their relation to youth unemployment. DESIGN: We used Australian Bureau of Statistics data to analyse suicide trends between 1907 and 1990 in young people aged 15-24 years and made an in-depth study of youth suicides between 1980 and 1990, for which computerised data are available. RESULTS: There has been a steady increase in youth suicide both in Victoria and Australia as a whole since 1960 in males but not females. There were significant differences in age, sex and area of residence in both the rate and the method of suicide. The increase in youth suicide was not associated with the rise in unemployment. Male (not female) suicide rates were higher in non-metropolitan areas and areas of high youth unemployment. The reasons for the increase in youth suicide remain obscure. CONCLUSIONS: There is a need for a prospective in-depth study to determine factors in the aetiology of youth suicide, with particular reference to possible areas for prevention.

Adolescent↗

Mandatory bicycle helmet use--Victoria, Australia.

On July 1, 1990, the first statewide law in Australia requiring wearing of an approved safety helmet by all bicyclists became effective in Victoria (1989 population: approximately 4.3 million) (Figure 1). Implementation of the law was preceded by a decade-long campaign to promote helmet use among the estimated 2.2 million persons who ride bicycles; the campaign included educational programs; mass media publicity; financial incentives; and efforts by professional, community, and bicycle groups (1,2). This report assesses helmet law enforcement, helmet use, and injuries related to bicycling in Victoria.

Adolescent↗

Most commonly used methods of detecting spinal subluxation and the preferred term for its description: a survey of chiropractors in Victoria, Australia.

PURPOSE: To determine the most commonly used diagnostic methods for detecting the spinal entity that chiropractors adjust/manipulate and the preferred term for describing this entity. DESIGN: Postal survey (self-completed questionnaire). SETTING: Victoria, Australia. PARTICIPANTS: All 554 chiropractors registered May 30, 1994, with the Chiropractors and Osteopaths Registration Board of Victoria. MAIN OUTCOME MEASURES: Frequency of use and opinion with respect to reliability of 16 specific methods, measured on a 7-point, Likert-type scale [never used (1) to always used (7) and very unreliable (1) to very reliable (7), respectively]; the respondent's preferred term for describing the spinal entity that chiropractors adjust/manipulate. RESULTS: The response rate was 85%. The most commonly used method was static palpation (mean score 6.6 +/- 1.1). Seven other methods, including pain description of the patient, orthopedic tests, motion palpation, visual posture analysis, leg length discrepancy, neurological tests and plain static X-rays had mean scores greater than 4.0. All of these methods, as well as functional X-ray views and kinesiological muscle testing, were considered reliable, with mean reliability scores greater than 4.0. Motion palpation was regarded as the most reliable method (mean reliability score 5.9 +/- 1.2). Seventy-five different terms for describing the spinal entity were named by 440 respondents. "Subluxation" was included in the preferred term of 294 respondents (67%), 46 included "dysfunction" (11%), 35 included "fixation" (8%) and 20 included "manipulable" (4.5%). CONCLUSION: Chiropractors commonly use a variety of methods to identify the spinal entity that they manipulate. There is no consensus as to the preferred term for describing this entity.

Chiropractic↗

Adenocarcinoma of the nose and paranasal sinuses in woodworkers in the state of Victoria, Australia.

The case index of the Cancer Institute of Victoria (Australia) contained 19 cases of adenocarcinoma of the nose and paranasal sinuses. Eighteen of the cases were in men and 1 in a women. Routine questioning of these patients revealed an occupation involving woodworking in 7 cases, whereas among 80 cases of other malignant tumors of the nose and sinuses there were only 4 who had been woodworkers. Among the patients with adenocarcinoma of the nose and sinuses, there was a significantly higher proportion of woodworkers than in the general population. The findings are consistent with European reports associating nasal adenocarcinoma with wood dust, but whereas the workers at risk in Europe are mainly in the furniture industry, some of the workers affected in Victoria have been sawmillers or carpenters. The specific salivary patterns of tumors of mucous glands are not associated with woodworking.

Adenocarcinoma↗

Determining sequences and post-translational modifications of novel conotoxins in Conus victoriae using cDNA sequencing and mass spectrometry.

A combination of cDNA cloning and detailed mass spectrometric analyses was employed to identify novel conotoxins from Conus victoriae. Eleven conotoxin sequences were determined using molecular methods: one belonging to the A superfamily (Vc1.1), six belonging to the O superfamily (Vc6.1-Vc6.6) and four members of the T superfamily (Vc5.1-Vc5.4). In order to verify the sequences and identify the post-translational modifications (excluding the disulfide connectivity) of three Conus victoriae conotoxins, vc1a, vc5a and vc6a, deduced from sequences Vc1.1, Vc5.1, and Vc6.1, respectively, liquid chromatography/electrospray ionization ion trap mass spectrometry, matrix-assisted laser desorption/ionization time-of-flight mass spectrometry and nanospray ionization ion trap mass spectrometry with collisionally induced dissociation were performed on reduced and alkylated venom fractions. We report that vc1a, the native form of alpha-conotoxin Vc1.1 (an unmodified 16 amino acid residue peptide that has notable pain-relieving capabilities), includes a hydroxyproline and a gamma-carboxyglutamate residue. Conotoxin vc5a is a 10-residue peptide with two disulfide bonds and a hydroxyproline and vc6a is a 25 amino acid peptide with three disulfide bonds.

Amino Acid Sequence↗

Stable isotope analyses and demographic responses counter prospects of planktivory by Caridina (Decapoda: Atyidae) in Lake Victoria.

Caridina nilotica, a freshwater atyid prawn, is a vital component of the Lake Victoria ecosystem. Despite its important role in the food web leading to Nile perch, the diet of Caridina is not well understood. Caridina freshly collected from the inshore littoral and offshore plankton of Lake Victoria were cultured individually under laboratory conditions on (A) decomposing hydrophytes, (B) living hydrophytes, (C) planktonic algae, (D) zooplankton and (E) 35- microm filtered lake water (a 'starvation' control). Inter-moult intervals (IMI, days), size-standardized moult intervals (MI, days mm(-1)), per moult growth increments (PMI, mm) and survivorship (%) were monitored daily for up to 5 weeks. Significant effects of both food type and shrimp source on MI were revealed by ANOVA. MI increased progressively from treatment A to D, and was shorter in offshore than littoral shrimps. Food influence on IMI was confirmed by ANCOVA. PMI values were close to the limits of detection, but were generally in line with MI responses. PMI values were marginal in treatments A and B, and negligible or negative in treatments D and especially E. Survivorship values, although confounded by non-dietary factors, were generally consistent with dietary influences on MI, although values obtained for treatment E were inconsistently high for true starvation. Disparate responses between inshore and offshore shrimps hint at possible ecotypic differentiation, or perhaps the existence of cryptic species. Stable isotope analyses (SIA, delta13C and delta15N signatures) of cultured shrimps were further consistent with their utilization of food type A but not D. SIA signatures of feral shrimps maintained in situ in enclosure bags with three separate potential fresh hydrophyte food sources (Vossia cuspidata, Cyperus papyrus, and Eichhornia crassipes) reflected Caridina's probable dietary reliance on decomposed organic matter with accompanying bacterial exudates. Collections of feral shrimps from various locations yielded parallel SIA results. No support for zooplanktivory by shrimps occupying either inshore littoral/benthic or offshore planktonic habitats is provided by the delta15N signatures obtained from our data, which support Caridina's primary role as a detritivore.

Africa↗

Quantitative determination of phospholipids using the dyes Victoria blue R and B.

Different phospholipids, except the choline-containing phospholipids phosphatidylcholine, lysophosphatidylcholine, and sphingomyelin, formed complexes with the dye Victoria blue R, which selectively partitioned into the chloroform phase of chloroform/ethylene glycol/glycerol biphasic solvent system, and were quantitatively estimated at 590 nm. Considerable amounts of water, alcohols, nonlipid phosphates, neutral lipids, free fatty acids, and some detergents did not interfere with the formation of phospholipid-dye complexes. This special advantage of the method described allowed combined phospholipid extraction and estimation procedures in one test tube. Because of its high sensitivity (about 24.00 OD units/mumol of phosphatidic acid and about 10.25 OD units/mumol of other phospholipids), specificity, and simplicity, the proposed phospholipid assay appears to be very useful for rapid analyses of lipid extracts as well as TLC spots or suspensions of biological materials, as demonstrated for membranes and cells of Micrococcus lysodeikticus. The applicability of the dye Victoria blue B to the quantitative determination of phospholipids, except phosphatidylcholine, lysophosphatidylcholine, and sphingomyelin, at 605 nm using chloroform/ethylene glycol/glycerol/water and pentane (hexane)/ethyl acetate/isopropanol/water biphasic solvent systems with similar sensitivities and of sodium dodecyl sulfate in the pentane-containing system with high sensitivity (22.96 OD units/mumol) is also shown. The adaptation of this phospholipid assay to the determination of phospholipases C and D and to the differential quantitation of choline-containing phospholipids using additional phospholipid estimation techniques is discussed.

Chloroform↗

Haemoglobin F Victoria Jubilee (alpha 2 A gamma 2 80 Asp-Try).

A new A gamma chain haemoglobin variant, haemoglobin F Victoria Jubilee, with an electrophoretic mobility slightly anodal to haemoglobin F Port Royal, was found in a Jamaican infant. The amino acid residue substitution of 80 Aspartic Acid leads to Tyrosine was associated with alanine in position 136. Haemoglobin F Victoria Jubilee constituted about 7.0 percent of the total haemoglobin F.

Adult↗

Electron paramagnetic resonance evidence of the generation of superoxide (O2.-) and hydroxyl (.OH) radicals by irradiation of a new photodynamic therapy photosensitizer, Victoria Blue BO.

Electron paramagnetic resonance (EPR) experiments were performed on Victoria Blue BO, a cationic dye whose photocytotoxicity has been studied against the human leukaemic cell lines K-562 and TF-1. EPR experiments with 2,2,6,6-tetramethyl-4-piperidone and spin trapping with 5,5-dimethyl-1-pyrroline-N-oxide showed that, on illumination in aerated aqueous solution or DL-alpha-dipalmitoylphosphatidylcholine liposomes, photoexcited Victoria Blue BO is unable to generate 1O2, whereas O2.- and .OH are trapped by 5,5-dimethyl-1-pyrroline-N-oxide in the presence or absence of electron donors. The O2.- formed probably leads to the .OH radical, with an efficiency which is increased by electron donors such as FE2+.

1,2-Dipalmitoylphosphatidylcholine↗

Determination of selected antibiotics in the Victoria Harbour and the Pearl River, South China using high-performance liquid chromatography-electrospray ionization tandem mass spectrometry.

Nine selected antibiotics in the Victoria Harbour of Hong Kong and the Pearl River at Guangzhou, South China, were analyzed using high-performance liquid chromatography-electrospray ionization tandem mass spectrometry. The results showed that the concentrations of antibiotics were mainly below the limit of quantification (LOQ) in the marine water of Victoria Harbour. However, except for amoxicillin, all of the antibiotics were detected in the Pearl River during high and low water seasons with the median concentrations ranging from 11 to 67 ng/L, and from 66 to 460 ng/L, respectively; and the concentrations in early spring were about 2-15 times higher than that in summer with clearer diurnal variations. It was suggested that the concentrations of antibiotics in the high water season were more affected by wastewater production cycles due to quick refreshing rate, while those in the low water season may be more sensitive to the water column dynamics controlled by tidal processes in the river.

Amoxicillin↗

A cluster analysis of people on Community Treatment Orders in Victoria, Australia.

This paper explores the clinical, social and demographic characteristics of 164 people on Community Treatment Orders (CTOs) in one area mental health service in Victoria, Australia. The results of an exploratory cluster analysis are presented to address the question of whether people on Community Treatment Orders can be categorised into statistically reliable, qualitatively distinct groupings. The data are presented in the context of key stakeholder perspectives on the current use and purpose of CTOs. Three stable clusters emerged and each potentially reflects how social dimensions, as well as clinical issues, influence decision making regarding the implementation of CTOs. These findings are important in the context of policy and practice in Victoria, where the use of CTOs is common practice, and orders are generally made for a 12 month period. The potential for improved targeting of CTOs and more specific treatment planning is identified.

Adolescent↗

The reappearance of Victoria lineage influenza B virus in Brazil, antigenic and molecular analysis.

BACKGROUND: In contrast to influenza A, minor influenza B viruses can co-circulate with the dominant strain during an epidemic allowing the re-emergence of old strains and reassortment between those different strains. The 2001-2002 influenza season in the northern hemisphere was distinguished by the re-emergence of the Victoria-lineage viruses, which replaced the Yamagata-lineage, after being restricted to East Asia throughout the 1990s. OBJECTIVES: To describe the antigenic and genetic characteristics of influenza B viruses detected in South and South East Brazil and determine their lineages. STUDY DESIGN: Influenza samples collected during epidemics between 1999 and 2002 were analyzed by indirect immunofluorescence assay (IFA). Positive results were confirmed through multiplex PCR and isolation in cell culture. Isolated viruses were antigenically characterized by hemagglutination inhibition. Fourteen hemagglutinin (HA) gene sequences obtained in this work were used for phylogenetic analysis. RESULTS: Brazilian isolates from 2002 were associated with the Victoria-lineage, diverging from the vaccine used throughout that influenza season in Brazil. CONCLUSIONS: These results indicate the reappearance of Sichuan/7/97-like samples in South and South East Brazilian Regions simultaneously. They indicate the need for neuraminidase gene evaluation and demonstrate the importance of influenza laboratory surveillance to establish which strains should be included in the influenza vaccine.

Brazil↗

Environmental assessment of mercury dispersion, transformation and bioavailability in the Lake Victoria Goldfields, Tanzania.

Environmental dispersion and transformation of mercury discharged from gold mining operations has been investigated in field and laboratory studies in order to provide better understanding of the degree of mercury (Hg) pollution and bioavailability in the Lake Victoria goldfields (LVGF) ecosystems. This paper reviews results already published elsewhere and presents additional data on Hg dynamics in the LVGF. Studies conducted at the Mugusu and Rwamagaza artisanal mines indicated different degrees of Hg contamination and dispersion in environmental matrices. Mercury concentration in contaminated river sediments near the Mugusu mine varied from 6.0 to 0.5 mg/kg on a dry weight basis. The highest Hg contamination levels (165-232 mg/kg) were associated with mine tailings at the Rwamagaza mine. Mercury concentrations in fish representing different dietary habits on the southwestern shore of Lake Victoria at the Nungwe Bay were very low (2-35 microg/kg) and thought to represent background levels. These and other results suggested that the use of Hg in gold extraction in the LVGF has not caused high Hg levels in lake fish. The study of Hg in lichens showed Parmelia lichen to be an effective bioindicator for atmospheric Hg contamination due to Hg emissions from gold-amalgam firing and purification operations. The Hg levels in the lichens around the Mugusu mine ranged from 3.1 to 0.1 microg/g; the highest levels were recorded in the lichens sampled close to gold-amalgam processing sites. The regional background level in the Parmelia lichen was 0.05-0.10 microg/g, with a mean level of 0.07 microg/g. Studies of Hg transformation in the mine tailings revealed unexpectedly high methylmercury (MeHg) levels in the tailings (629-710 ng/g), which indicated that oxidation and methylation of metallic Hg in the tailings occurred at significant levels under tropical conditions. Re-equilibration of the tailings with freshwater (FW) indicated the MeHg was firmly bound in the tailings and therefore very little MeHg was released to the water column (0.2-1.5 ng/L). The methylation of Hg in tropical loamy clay soil contaminated with HgCl(2) (5 mg Hg/kg) yielded MeHg concentrations of 11 and 14 ng/g when inundated with seawater and FW, respectively, for 4 weeks. Little MeHg was transferred from the soil to the equilibrated water (< or = 0.4 ng/L). Atmospheric exposure of the soil pre-inundated with FW resulted in net degradation of MeHg during the 1st week of exposure, followed by net production and accumulation of MeHg in the soil (up to 15.5 ng/g) during atmospheric desiccation. Mercury uptake by fish from the Hg(0)-contaminated aquatic sediment-tailings system in the aquarium experiment was found to be low, suggesting the low availability of MeHg for bioaccumulation in the system. These and other results provide useful insights into Hg transformation, mobility and bioavailability in tropical aquatic systems affected by Hg pollution from gold mining operations.

Animals↗

Assessment of vaccine coverage following the introduction of a publicly funded pneumococcal vaccine program for the elderly in Victoria, Australia.

In 1998, a publicly funded pneumococcal vaccine program was introduced for persons aged > or = 65 years in Victoria, Australia. In 2000, vaccine coverage over the previous 5 years was assessed through a telephone survey of 385 randomly selected subjects aged > or = 65 years. Self-reported pneumococcal vaccine coverage within the previous 5 years was 46.0% (95% CI 40.5-51.6). Self-report was validated against the medical records of the nominated provider for 278 (72%) subjects. Among this subgroup, self-reported coverage was 51.1% but was 57.9% according to medical records (positive predictive value 91.5%, negative predictive value 77.2%, sensitivity 80.7%, specificity 89.7%). After accounting for response bias among those subjects for whom self-report was not validated, the revised estimate of pneumococcal vaccine coverage within the previous 5 years was 50.5% (95% CI 44.8-56.1). Comparison of vaccine coverage over time suggests the introduction of the publicly funded program in Victoria has dramatically increased coverage among the elderly.

Aged↗

A community approach to diabetes education in Australia--The Region 8 (Victoria) Diabetes Education and Control Program.

The Australian Region 8 (Victoria) Diabetes Education and Control Program (DECP) is a community-based program which seeks to integrate ambulatory diabetes education programs into primary health care centres. The overall goal of the DECP is to reduce the human and economic costs of diabetes in a health region which covers 25% of the population of Victoria. Several implementation models are being tested and a rigorous evaluation has been built into the program. Diabetes education activities are targeted at 3 levels--the community, persons with diabetes, and health professionals. The DECP may provide of useful model for establishing diabetes and other chronic disease education and control programs, within community settings, in other parts of Australia and other countries.

Australia↗

Polyphasic taxonomy of a novel yeast isolated from antarctic environment; description of Cryptococcus victoriae sp. nov.

In 1992 some samples of mosses, lichens and soils were collected from Botany Bay, Southern Victoria Land (77 degrees 01' S 162 degrees 32' E) and, as a result of a routine screening programme some yeasts were isolated. One of them, designated as strain G5, showed marked differences when compared to other antarctic yeasts. According to morphological and physiological characteristics, we were able to identify the strain G5 as a yeast belonging to the genus Cryptococcus. Some characteristics of this genus are the growth response to myo-inositol, celobiose, raffinose and D-glucuronate, no-fermentation, the absence of mycelium and pseudomycelium, asexual reproduction, Diazolium blue B test (DBB) and urea hydrolisis positive and the growth without vitamines. This strain (G5) formed cream colonies of slimy appearance with cells of 3 x 2 microns in size, that grew between 4 degrees C and 20 degrees C. The G + C content of strain G5 was 50.3 mol%. The molecular characterization by whole-cell proteins and RFLP analysis of the 5.8S rRNA gene and the two ribosomal internal transcribed spacers (5.85-ITS region), revealed that this strain was different from other antarctic species of this genus. The phylogenetic tree deduced from the 5.8S rRNA gene sequence showed the strain G5 as a member of the genus Cryptococcus, clearly separated from other basidiomycetous yeasts. On the basis of the physiological, genotypical and phylogenetical data, the new isolate G5 was described as Cryptococcus victoriae, sp. nov., with the type strain G5 (= CECT 11114).

Base Sequence↗