https://nova.newcastle.edu.au/vital/access/ /manager/Index en-au 5 https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:43735 Wed 28 Sep 2022 10:43:49 AEST ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:29319 Wed 27 Apr 2022 14:48:52 AEST ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:24666 Wed 15 Dec 2021 16:09:24 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:40987 n = 21), and a further three years (n = 10). Findings: Findings from the study are used to advance a model for value creation and TSR at the BoP, which identifies three critical change periods within consumers. These periods suggest that creating improvements in well-being of consumers requires their initial recognition of value outcomes, realisation of agency and a new vision for the future. Research limitations/implications: Research in other contexts is warranted to confirm the model, to further explore well-being from service at the BoP and to identify issues that diminish consumers' confidence and stall transformation. Methodological challenges at the BoP also present avenues for insightful work. Practical implications: Transformative service at BoP requires an emphasis on suitable structures, collaborative processes and management skills to facilitate consumers gaining agency and control, so that they can use their new and existing resources effectively and/or differently. Social implications: Participants highlighted positive changes to well-being at both individual and collective levels. Notably, some changes were not directly related to initial service provision but reflected improvements, such as employment for women, and better hygiene, health and education of families. Originality/value: By exploring the interconnection between transformative service and value creation, this study addresses the issue of when value creation becomes transformative and vital for poverty alleviation at the BoP. The proposed model incorporates TSR, service logic and other literature, illustrates a process moving from value determination to value expansion and highlights three critical intrasubjective change periods within actors.]]> Wed 13 Mar 2024 19:14:48 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:15180 Wed 11 Apr 2018 12:50:16 AEST ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:17460 Wed 11 Apr 2018 10:09:35 AEST ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:12246 Wed 11 Apr 2018 09:53:10 AEST ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:24526 Wed 10 Nov 2021 15:04:36 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:33222 Wed 04 Sep 2019 09:55:43 AEST ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:31353 Wed 04 Sep 2019 09:49:26 AEST ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:45641 Wed 02 Nov 2022 15:17:05 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:13823 Tue 24 Aug 2021 14:27:18 AEST ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:38880 Tue 01 Mar 2022 13:41:33 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:502 Thu 25 Jul 2013 09:10:33 AEST ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:96 Thu 25 Jul 2013 09:10:13 AEST ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:33225 Thu 24 Aug 2023 09:38:08 AEST ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:37770 n = 2381), determined using Goldberg cut-offs. Diet quality was measured by the Australian Recommended Food Score (ARFS) using data derived from a validated food frequency questionnaire. Multiple linear regressions were used to evaluate relationships between change in diet quality and weight in mid-age women (n = 1999). Women in the highest tertile of ARFS change improved diet quality [mean ± SD] [7 ± 4 points], while those in the lowest [-9 ±5 points] and middle [-1±2 points] tertiles had worse diet quality at follow-up. Overall, mean weight gain was 2.3 ± 7.2 kg over nine years. Those in the highest tertile of ARFS change gained significantly less weight, compared to the lowest tertile; ß = -1.2 kg [95% CI: -2.31, -0.11; p = 0.03] after adjustment for changes in confounders and baseline weight, baseline ARFS, and total energy intake. Conclusions: Improving diet quality could be an important strategy for promoting modest weight loss and potentially contribute to preventing weight gain in mid-age women, which is important for metabolic health.]]> Thu 15 Apr 2021 11:40:59 AEST ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:46992 Thu 06 Jul 2023 14:55:26 AEST ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:53804 Thu 04 Apr 2024 15:51:21 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:51595 Thu 04 Apr 2024 15:00:48 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:13802 Sat 24 Mar 2018 10:41:13 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:13803 Sat 24 Mar 2018 10:41:13 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:6818 Sat 24 Mar 2018 10:23:05 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:4520 Sat 24 Mar 2018 10:12:59 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:14533 Sat 24 Mar 2018 08:21:56 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:12518 Sat 24 Mar 2018 08:16:02 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:20806 7-fold (hazard ratio 7.34, 95%, confidence interval 5.08-10.58) and a >8-fold (hazard ratio 8.44, 95%, confidence interval 4.64-15.37) increased risk of early-onset dementia and early-onset mild cognitive impairment, respectively. In conclusion, lower cardiovascular fitness and cognitive performance in early adulthood were associated with an increased risk of early-onset dementia and mild cognitive impairment later in life, and the greatest risks were observed for individuals with a combination of low cardiovascular fitness and low cognitive performance.]]> Sat 24 Mar 2018 08:05:52 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:19575 0 ≤2), “long-term risk” (>2 ≤4), or “short-term risk” (>4). Separate generalized estimating equations for men and women, controlling for key demographic, and health variables (depression, diabetes, circulatory and musculoskeletal conditions) were used to examine the relationship of alcohol consumption with hospitalization and falls against a reference category of low-risk consumption. Results: Most participants were in the low (10,369, 62%) or abstinent (5,488, 33%) categories. Among women, all alcohol groups had greater odds of admission than low-risk users; among men, only the abstinent group had increased odds. For both genders, depression, diabetes, circulatory and musculoskeletal conditions all increased the odds of admission. For both genders, the unadjusted model showed that abstainers had increased odds of falling, with depression, diabetes, and for women, musculoskeletal conditions also associated with falls in the adjusted model. Conclusion: These outcomes suggest that older women in particular could benefit from targeted alcohol consumption messages or interventions. In relation to falls, other health conditions appear better targets for intervention than alcohol use.]]> Sat 24 Mar 2018 07:58:19 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:16230 Sat 24 Mar 2018 07:53:33 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:21647 Sat 24 Mar 2018 07:52:23 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:21834 Sat 24 Mar 2018 07:52:17 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:21354 n=1402) were pain free. Of those with pain, mean score was 2 (range 0-10). The majority had cancer (90%), with no significant difference between the severity of reported pain scores between cancer and nonmalignant diagnoses (P=0.27). A significant gender difference was noted, with females statistically more likely to report severe pain (χ²(3026)=5.61, p=0.018). Similarly, those <60 years were more likely to report pain χ²(3025)=3.07; p=0.022). Longitudinal changes in pain revealed the pain scores of people admitted with pain <7 always reported lower pain scores than those with severe pain on admission (90 days, F(1, 654)=55.72, p<0.001; 60 days, F(1, 1008)=48.62, p<0.001; 30 days, F(1, 1522)=60.36, p<0.001; 7 days, F(1, 1897)=15.4, p<0.001). However, pain scores of those with pain <7 on admission rose as death approached compared with those who reported severe pain. Conclusion: Even in the context of expert delivery of palliative care where pain is most likely to be optimally managed, pain continues to be a problem. Work such as this suggests that the different mechanisms that contribute to pain may influence patients' experiences even when analgesia is optimized in a specialist setting. Particular attention is needed in the future to explore the relationship between severe pain and mobility.]]> Sat 24 Mar 2018 07:51:28 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:20995 N = 9683). Information on self-reported sleep difficulties, help seeking, and health-care satisfaction was obtained from four surveys collected from 2000 (aged 22-27 years) to 2009. Generalized estimating equations were conducted to calculate odds ratios (OR) for the likelihood of women who reported sleep difficulties in 2000 to report sleep difficulties at subsequent surveys. Results: The prevalence of self-reported sleep difficulties 'often' was consistent at 9.1-10.8%. Women who reported sleep difficulties 'often' in 2000 had a markedly increased risk of continued sleep difficulties 'often' over the subsequent 9 years [2003: OR (95% confidence interval, CI) = 11.07 (8.03-15.27); 2006: 12.19 (8.08-16.88); 2009: 10.70 (7.57-15.12)]. Of women who reported sleep difficulties 'often' in 2000 (N = 981), 45.1% had persistent sleep problems and 21.1% experienced relapse of symptoms. About one-third of women who reported sleep problems 'often' sought help. Conclusion: Self-reported frequent sleep difficulties in non-depressed young women strongly predicted a continuation of this level of sleep difficulty over a decade, even if help is sought. Current health practice may not be breaking the ongoing chronicity of sleep difficulties in young women.]]> Sat 24 Mar 2018 07:50:38 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:4940 Sat 24 Mar 2018 07:45:43 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:270 Sat 24 Mar 2018 07:43:02 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:27869 Sat 24 Mar 2018 07:41:10 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:28493 Sat 24 Mar 2018 07:39:31 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:25579 Sat 24 Mar 2018 07:35:15 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:3819 Sat 24 Mar 2018 07:22:45 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:23838 Helicobacter pylori (H. pylori) infection may be declining but there is a lack of recent longitudinal population studies. We evaluated the changing epidemiology over a 23-year period in Sweden. Materials and methods: In 1989, the validated Abdominal Symptom Questionnaire (ASQ) was mailed to a random sample of inhabitants (ages 22-80 years) in a Swedish community, and 1097 (87%) responded. H. pylori serology was analysed in a representative subsample (n = 145). Twenty-three years later, the ASQ was mailed again using similar selection criteria, and 388 out of 1036 responders had an upper endoscopy with assessment of H. pylori and corpus atrophy status. Results: The prevalence of positive H. pylori serology decreased from 37.9% (1989) to 15.8% (2012), corresponding to a decrease in odds of 75% per decade (odds ratio (OR): 0.25; 95% confidence interval (CI): 0.11-0.59, p = 0.001) independent of age, gender, body mass index (BMI) and level of education, with a pattern consistent with a birth cohort effect. The prevalence increased with increasing age (p = 0.001). The prevalence of H. pylori on histology in 2012 was 11.4% (95% CI 8.6-15.0). The prevalence of corpus atrophy on serology and/or histology in 2012 was 3.2% (95% CI 1.8-5.5); all cases were ≥57 years old. Conclusion: The stomach is healthier in 2012 compared with 1989. H. pylori prevalence in adults has decreased over the last two decades to a level where clinical management might be affected.]]> Sat 24 Mar 2018 07:12:10 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:32613 Mon 25 Jun 2018 14:21:11 AEST ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:44736 Mon 24 Oct 2022 08:28:43 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:32394 Mon 23 Sep 2019 11:45:21 AEST ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:52503 Mon 16 Oct 2023 10:10:24 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:49440 Mon 15 May 2023 14:12:34 AEST ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:49398 Fri 30 Jun 2023 10:10:23 AEST ]]>