Fast BooksPreviews - Medical
A Little Bit Extra Special

Author: Charles Hartson
ISBN: 0 646 27985 8
Publisher: Sarah Hartson
Address: 292 Glenmore Road, Paddington, NSW, 2021

The recipient of a Cochlear Implant, Annabelle is now learning to hear and talk. The story of Annabelle's operation will have application for all children facing a stay in hospital. Its simple style is accessible and comprehensive in the recounting of a traumatic event.


Written in the voice of a young boy, "A Little Bit Extra Special" tells of his sister Annabelle, a two year old who is a little bit extra special. She cannot hear, but "you can't tell by looking at Annabelle that she is deaf."

With the confronting forthrightness common to all young children, yet to be influenced by prejudice, and who measure the world by how they are treated, this small book makes a considerable contribution to tolerance and understanding.

Illustrated with black and white photos it records a life that is at the same time ordinary and a little bit extra special - Annabelle in her hospital bed and Annabelle playing with her shoe on the dining room table. Supported by the Shepherd Centre this publication, touching in its simplicity and honesty, will help children and their families alike.

The Ear Work Book

Author: Sherryll Thomas
ISBN: 0 646 29480 6
Publisher: Sherryll Thomas
Address: 22 Lagoon Street, Narrabeen, NSW, 2101

Your ears can improve your health - discover the healing power of ears. Just how understanding ears can improve your health is explained in this simple self help manual. Ear Work incoporates one of the oldest Chinese healing techniques - acupuncture without needles - with reflexology and magnetic therapy.

Whether you are a practitioner or a person interested in self help health, the charts in this manual will set you on the way to positive pain relief and stress control. It is simple to learn, safe to apply and works quickly. No expensive equipment is necessary.

The author is a reflexologist and acupressurist who has been a natural therapist for years. She has been passionate about EARS since 1994. Having studied the Chinese and French systems, Thomas has found dramatically improved results in her practice since incorporating Ear work in her healing routine.

She now specialises in EARS, treating migraine, headache, PMS, menopause, stress, giving up smoking and moving energy blockages.

The manual comprises an introduction to the history of this form of treatment, an explanation of how it works and charts that show the appropriate points that need to be worked upon for a particular ailment.

The charts are ordered alphabetically and cover everything from asthma to hiccups, indigestion to lower back pain, bed wetting to nightmares, phantom limb pain to soft tissue injury.

If you are interested in self help treatment, then this manual could be just what you are looking for.


Nicotine Replacement Therapy - The Evidence

Author: Nicotine Replacement Therapy Association
ISBN: 0 646 28385 5
Publisher: Nicotine Replacement Therapy Association Inc.
Address: Lvl 2/273 Sussex Street, Sydney, NSW, 2000

Does nicotine replacement therapy work? Who does it work for? What is the evidence? As an estimated 3.6 million Australians are currently smokers, answers to these questions are clearly needed. This publication sets out the findings of a committee established to examine the feasibility of preparing evidence-based guidelines about the use of and role of nicotine replacement therapy in Australia.


Nicotine replacement therapy (NRT) first became available in Australia in 1984. In 1993, the first transdermal nicotine patch was approved for marketing as a Schedule 4 item. Since then, a further three applications have been approved for transdermal nicotine patches, although one has been withdrawn from the market.

Each of the three nicotine patches has been associated with strong but different marketing campaigns. However, controversy remains about their overall role as part of a coordinated public health strategy to promote smoking cessation.

The committee that was established to investigate evidence-based guidelines about the use of NRT was the result of an industry initiative. It has since been expanded to cover a broad range of disciplines including epidemiology, public health, tobacco control, general practice, pharmacy, clinical pharmacology, addiction studies, behavioural science and a consumer perspective.

The committee is chaired by Professor Chris Silagy of the Department of General Practice, Flinders University. Panel members are as follows:

Renee Bittoun, Head, Nicotine Addiction Unit, University of Sydney
Dr Ron Borland, Centre for Behavioural Research in Cancer
Ms Megan Benier, Residential Community Care Advocacy Service
Associate Professor Peter Carroll, Department of Life Sciences, University of Sydney
Associate Professor Simon Chapman, Department of Community Medicine, University of Sydney
Dr Sue Hill, Clinical Evaluation Unit, Therapeutic Goods Administration
Dr Graham Sivyer, General Practitioner, and
Dr John Summons, Royal Australian College of General Practitioners.

The report finds that there is a continuing trend towards smoking cessation in Australia. Smokers usually make several attempts before quitting successfully, and the great majority do so alone and unaided.

Itt finds that self-help strategies can help as can advice from professionals. The effectiveness of brief interventions can be enhanced by using more than one modality. Formal behavioural therapy is more effective than advice alone, and may be as effective as NRT. However, it also concludes that there is insufficient evidence that nicotine gum is more effective than formal behavioural therapy. Interestingly, it concludes that dedicated face to face smoking cessation services make only a minor contribution to smoking cessation.

With NRT, it finds that its use in all forms is significantly more effective than placebo or no NRT in helping smokers quit and that nicotine gum is more effective in smokers with high nicotine dependence.

The publication concludes by addressing policy issues. Noting that NRT is effective in reducing smoking rates, it argues that public policy should be directed towards ensuring it is available to as many people as would benefit from it.

The need to see a doctor, the need for prescriptions, its cost and the market are canvassed.

Surprisingly, given the attention that smoking cessation has received in recent years, the paucity and/or unreliability of available medical research and the lack of large controlled trials in many relevant areas is alarming.

A reader could conclude that some of the funds dedicated to advertising the matter might have been better spent to more public effect by the medical profession. Certainly more funds could be devoted to research. This publication argues cogently for the need for further work overall but especially for particular groups of people including pregnant women, Aboriginal and Torres Strait Islanders, people with cardiovascular disease and stroke and those with diabetes.

The Master Word of Dr William Osler

Author: Alex Preda
ISBN: 0 646 28437 1
Publisher: Alex Preda
Address: 12 Terminus Street, Castle Hill, NSW, 2154

This collection of the works of Dr Osler - doctor, teacher of medicine and uniquely good man - brings together some of his most important writings. Born in the wilds of Canada, he became successively Professor of Medicine at McGill, Pennsylvania, John Hopkins and Oxford Universities and was immortalised by his gift of inspiring others with his own example of joyous living.


Stress, success and ethics, as major issues in a doctor's life, are not new. Although Osler wrote as a teacher of medicine the issues are not confined to that profession. His writing has application for everyone. His philosophy and attitude to life have universal relevance and his audience today should be far wider than the medical audience for whom he originally wrote and to whom he often spoke.

From his interest in the classics, he was a humanist with a quiet inner strength able to reconcile the eternal truths of literature, religion and philosophy with the rapidly expanding findings in science.

There are few eminent medical men in the West not aware of his writings. They are the forerunner of all today's personal development courses, while "A Way of Life" has been the very cornerstone of how-to-stop worrying and start-living methods.

The energy and sincerity with which he lived what he preached and his natural, profound empathy with students is evident in the addresses to student bodies included in this collection.

Osler's thoughts and deliberations delight because they are not only homely truths that need re-presenting but are the constant truths that have been propounded through the ages.

It is not appropriate for me to endeavour to synopsise the work. It is appropriate to urge you to read it, ponder it, enjoy it and make the most of everything it has to offer for it surely has much to offer.

This publication has been undertaken in order that new generations can enjoy Osler's work. I hope they seize the opportunity.



The Endorphin Connection

Authors: George Ulett & James Nichols
ISBN: 0 646 28311 1
Publisher: Novena Marketing
Address: 42 Union Street, Wickham, NSW, 2293

Easy and economic relief from pain without drugs using ACU-TENS. Discover for yourself the pain relieving effects of ACU-TENS.


It is a device that is not only capable of massaging muscles, but by placing self adhesive pads on certain body locations, it is capable of administering a pulsing impulse that will stimulate the release internally of endorphins. If you want to experience conditioned healing, with its capacity to improve relaxation, concentration, mental and physical performance and help condition yourself against the effects of stress, then this is a book you will want to investigate.

Massage, yoga, exercise and hypnosis are examples of non-invasive techniques that enable the body to handle difficult situations better. They work by influencing the natural mechanisms within the human brain to control the flow of hormones and, as a result, support the role of the immune system.

ACU-TENS is an extension of this principle and offers the potential to the general community to add a safe alternative to drugs to induce relaxation and feelings of general well-being.

This handbook of opiate enhancement takes the reader through why and how ACU-TENS works, a study of the location of motor points and case studies of people who have successfully used ACU-TENS.


AIDS Missions Support Manual

Author: United Christian AIDS Concern
ISBN: 0 646 26172 X
Publisher: United Christian AIDS Concern
Address: PO Box 1014, Doncaster East, Vic, 3109

A guide to AIDS, this manual sets out this history of the pandemic, explains what it is, succinctly details the risk factors, approaches for working with people infected with HIV, for nursing those with AIDS related diseases and sets out the fundamental issues that need to be considered when preparing educational programs.


It aims at dispelling fear by providing information and recognises that whilst currently fatal, AIDS is preventable.

Designed for Christians working in developing countries, this manual is written with such a plain common sense approach to the issue of AIDS that it will be relevant to a far wider audience than the one for whom it has been designed.

It is the result of the work of AIDS Mission Support (AMS), which in 1989, as a small working party under the auspices of the Christian Medical Fellowship of Victoria, World Vision Australia and the Australian Evanagelical Allicance Missions Commission, began looking at the implications of the global epidemic for missionaries and mission organisations, with respect to their own personnel and those amongst whom they minister.

Section 1 of the manual, "Basic Information on AIDS", is written to enable missionaries and their respective organisations to make informed decisions regarding the epidemic.
Recognising that not only is the risk of getting AIDS less than that of getting malaria, but that it is preventable, Section 2 sets out guidelines for prevention.

Section 3, "Limiting the Spread of AIDS", explores ways in which to establish education programs, from one-to-one to community based to advertising campaigns that are appropriate for the community for whom they are intended.

A personal encounter described in this section eloquently makes the point:
"In Tanzania, when 35-year-old Lenika Savorek read a poster explaining that to avoid infection with AIDS he should 'have sex with only one faithful partner' he burst into laughter. 'What am I going to do with my other wives?' he asked. 'Love carefully', the slogan adopted by the Ugandan campaign, recognises the existence of polygamy in local cultures."

The manual explores the circumstances under which it might be appropriate to encourage a change in behaviour and, when as the example above indicates, it is more appropriate to change the approach of a campaign.

It suggests that traditional behaviour may be modified by consensus community decisions. For instance, in an area around the Chikankata Hospital in Zambia the spouse of a person who has died is traditionally expected to have sexual intercourse with a member of the bereaved family. After counselling and most importantly, with consensus agreement, most now choose to adopt an alternative methods of ritual cleansing.

Aspects of counselling and caring are covered in Section 4, "Caring for a person with AIDS".
Although the majority of the editorial committee have worked in developing countries, the limitations of preparing such a manual from a developed country are recognised in Section 5 which includes contributions from those currently working in Africa.

Supplements include papers on practical theology, further information for those wishing to study AIDS in greater detail and a section for administrators who have responsibility for staff safety.
All in all, not only is this manual clear, concise and practical, it is a good contribution to the discussion of the issue, canvassing as it does, the cultural, religious and economic factors that have bearing on the spread of the pandemic.

Copies may be ordered from the Health Advisory Unit of Missions Interlink, 204 Wommara Avenue, Belmont North, NSW, 2280 and cost $8.00 per copy. Bulk orders can be negotiated.



In the Footsteps of Rontgen

Author: Hilary Irvin
ISBN: 0 646 25288 7
Publisher: Hilary Irvin Productions
Address: PO Box 338, Edgecliff, NSW, 2027

This publication celebrates the centenary of Professor Wilhelm Konrad von Rontgen discovery of X-rays and explores Australia's contribution to the field of X-rays and allied areas, examining the progress of present applications and future directions through a series of twenty three interviews with preeminent achievers in radiology, ultrasound, nuclear medicine (organ-imaging) and industrial physics.


Included in the volume are interviews are with the following:

Bruce Innes, Radiographer, currently researching the life of Joseph Slattery and the beginning of radiography in Australia preparatory to a biography on Slattery.

Dr William Hanson, Radiotherapist, pioneer in radiotherapy, given the title of Radium Registrar in 1940, the first user of radium for therapy in Australia. The Hanson Centre for Cancer Research, the Hanson Resources Room at the Anti-Cancer Foundation, the scholarship called the Hanson Scholar at Adelaide University all perpetuate his name and his pioneering work.

Dr Phillip Yuile, Radiation Oncologist, who introduced into Australia the first ever intra-operative radiotherapy programme.

Jill Fitch, Physicist, member of the Executive Council of the International Radiation Protection Association, specialises in the field of Radiation Biology and Radiation Physics.

Professor Peter Ilbery, Professor of Radiobiology. Internationally known for his work in radiation oncology, he practiced at the School of Public Health in Sydney and later as Medical Director of the Peter MacCallum Cancer Institute in Victoria. He has held the only Associate Chair in Radiobiology in Australia.

Dr Gwyn Howells, CB. As Director-General of the National Health Medical & Research Council he oversaw Australia's victorious campaign against tuberculosis.

Dr Suzanne le P. Langlois, Radiologist. As a result of her research on impalpable mammographic abnormalities, she has developed techniques and equipment important in modern day breast diagnosis - particularly with a technique called carbon localisation.

Professor Janet McCredie, AO. With a doctorate for a thesis on congenital malformation, she received an AO for continuing services to medecine. Her interpretation of X-rays of thalidomide children led her to devise the theory of Neural Crest Injury as being the pathogenesis of congential malformations of the thalidomide type.

General Colin Gurner, AO. After twenty years army service, Gurner practices both as a therapeutic and diagnostic radiologist. He has been variously, the Director of Australian Kidney Foundation, the Surgeon/General of Defence Forces and Director-General of Medical Services (AMF).

Paul Trainor, AO. Beginning in the factory at Watson Victor, Trainor became the brains behind Ausonics and Telectronics, the producers of Octoson, artificial pacemakers and Cochlear implants for the deaf.

Dr Christoper Rowe, nuclear neurologist. His studies with SPECT (single photon emission computed tomography) imaging, as well as PET (positron emission tomography), he is currently attracting world wide interest with the work undertaken in his research laboratory.

Others include Dr George Kossoff, Ultrasound Specialist, Dr Kenneth Sherbon, Radiologist, Rex Boyd, Radio-Chemist, Dr Frederick Schubert, Radiologist and Nuclear Medicine Specialist, John Watt, Physicist, formerly at the Australian Atomic Energy Commission and more recently with CSIRO, Professor John Mainstone, Professor of Physics, University of Queensland, Dr Peter Verco, Radiologist, Dr Bruce Kynaston, Radiation Oncologist, Dr Ross Glasson, Diagnostic Radiologist, Dr William Garrett, AM, Radio- Obstetrician, Dr James Syme, Radiologist and Dr Thomas Sandeman, Radiation Oncologist.

Not only is this work interesting because as Dr George Cohen says "historians of the future . . . will bless you for it", it makes fascinating reading and provides an illuminating insight into the history of science and medicine in Australia.


Healing Women

A History of Leichhardt Women's Community Health Centre

Author: Joyce Stevens
ISBN: 1 646 25977 6
Publisher: The First 10 Years History Project
Address: C/- 78/38 Forbes Street, Newtown, NSW, 2042


The author, Joyce Stevens, was awarded the Order of Australia (AM) on January 26, 1996.

A history of the Leichhardt Women's Community Health Centre, this work is more than just that. At the same time as revealing the breadth of services provided to a complex and varied community by a centre such as Leichhardt, "Healing Women" places these services in their historical context, that of the 1970s Women's Liberation Movement and the women's health movement and thus within the development of society over the past two decades.


Author Joyce Stevens comments in the preface:

"Once upon a time, before feminists carried their banners emblazoned with the women's sign and the inscription "Women's Liberation", there was a luxury tax on the contraceptive pill. The group known as Family Planning, whose job it was to inform the public about contraceptives and to prescribe them where they were needed, was forbidden to advertise its services." A far cry indeed from today where buses and billboards carry advertisements advocating the use of condoms.

This book, examining as it does women's history at a micro level, through its examination of the first ten years of the Leichhardt centre, is a valuable contribution to this area. It is also an illuminating insight into just how far the women's movement has been instrumental in changing public perceptions on everything from the right to control your own body, to a person's right to information in any relationship with a medical practitioner (indeed the right to be able to make informed decisions in any matter), to equality of access to information irrespective of gender, race, ethnicity, language or income to the need to address prevention as well as cure in medicine.

In detailing the battles that were fought and sometimes won and sometimes lost in the struggle to establish and maintain the centre, "Healing Women" demonstrates how crucial disagreement and conflict has been in the development of new ideas about women's place in the world and in the development of new ways of trying to work in that world.

As a centre committed to the tenets of working collectively, "Healing Women" is also a fascinating insight into the problems and challenges of a collective. It charts the developments in attitudes to what constitutes a collective and the extent to which compromise was necessary and the extent to which compromise was resisted.

Through an often stormy and uncertain history, the fact that the centre survived and has contributed so much of immense value to its constituency and beyond is a testomony to many dedicated and talented women of conviction and vision.


25th Annual Scientific Meeting

Author: Australian Society for Ultrasound in Medicine
ISBN: 0 646 25233 X
Publisher: Australian Society for Ultrasound in Medicine
Address: 2/181 High Street, Willoughby, NSW, 2068

The program for the 25th Annual Scientific Meeting of the Australasian Society for Ultrasound in Medicine.

It includes abstracts from most of the sessions and covers such matters as 3D ultrasound, paediatric ultrasound, obstetrics and gynaecology ultrasound, breast ultrasound, ultrasound artefacts, abdominal ultrasound, Doppler ultrasound, vascular/scrotal/back ultrasound and sonography of the shoulder, knee, forearm, hand and ankle tendons.

The meeting was held at the Sydney Convention Centre during August 1995.

Invited international speakers include Dr Steve H. Parker, Assistant Clinical Professor, Department of Radiology, University of Colorado; Dr Joanna Seibert, Professor in the Department of Radiology and Peadiatrics at the Arkansas Children's Hospital; Associate Professor William D. Middleton of the Mallinckrodt Institute of Radiology, Washington University School of Medicine; Professor William Robert Lees, Professor of Medical Imaging at University College, London; Dr A. Thomas Stavros of Imaging Associates of Inglewood, Colorado and Professor Sturla Eik-Nes of Trondheim University Hospital, Norway.

Australian speakers include Katherine Devonald, Department of Obstetrics and Gynaecology, Nepean Hospital; Dr John Read of the Sydney Adventitst Hospital; Dr Stephen Cahill, Director of the Radiology Department, Westmead Hospital; Veronica Hanrahan of the Department of Nuclear Medicine & Ultrasound, Westmead Hospital; Dr David Ellwood, Director Department of Obstetrics and Gynaecology, Nepean Hospital; Dr Bruno Giuffre and Dr Steven Blome of Royal North Shore Hospital; Trevor Beckworth of Wagga Medical Imaging; and Dr John King of Gribble Pathology, Adelaide



Seminar in Clinical Oncology Pharmacy Practice

Author: NSW Oncology Pharmacy Interest Group
ISBN: 0 9588944 7 7
Publisher: Society of Hospital Pharmacists of Australia
Address: Department Pharmacy, Westmead Hospital, Westmead, NSW, 2145

As the title suggests, the publication is a collection of papers, abstracts and notes presented at a Seminar in Oncology Pharmacy Practice constructed as a basic training program for Oncology Pharmacists, conducted by the Westmead hospital in September 1995.


The range of topics is comprehensive starting with an overview of cancer, the biology of cancer, the patient's perspective and principles of cancer treatment, and covering topcis such as endocrine therapy, an overview of biological therapeutic agents and the haematological complications of chemotherapy.

As the publication is designed principally for use at the Seminar, not surprisingly, some sections are designed solely to be used in conjunction with the presentation of the particular topic under consideration.

Case studies are presented in a range of topics including Paediatric Oncology covering case studies in Wilm's Tumour and Acute Lymphoblastic Leukeamia.

The publication concludes with some thought provoking papers on
palliative care and the ethical debate currently raging over euthanasia.

The publication includes comprehensive suggested reading lists.


The 1994 ROW and MetROW Project

Author: Cecelia Gorer & Sonja Mahs
ISBN: 0 646 25270 4
Publisher: NSW Users and AIDS Assoc. Inc.
Address: PO Box 822, Bondi Junction, NSW, 2022

NUAA (NSW Users and AIDS Association) conducted its first Rural Injectors Project in 1993. Following the success of the pilot project, a number of recommendations were made including the proposal to implement the developed model.


This report covers the resultant work of Rural Outreach Workers (ROWs) working in three country locations in New South Wales - Bowral, Narooma and Albury, and Metropolitan Rural Outreach Workers (MetROWs) working in satellite cities within a 150k radius of Sydney - Gosford, Newcastle and St Marys. The project is primarily concerned with identifying the needs of the target group and assisting them to work out goals and strategies for achieving those goals.

Workers were selected on the basis of their knowledge of the issues, good knowledge of the contacts in their area and their ability to communicate. Peer education is stressed and some workers were themselves users. Some had been unemployed previously for quite lengthy periods of time.

The target group was not always the same in each area - for instance in one area it was methadone users, in another it was users wishing to detox, and, in others, it was all users no matter what they used or how.

Greg Ussher's statement in Talkabout July 1994 summaries the philosophy behind the program:

"Community development presupposes that people's health experiences are part of their social context and social relations, not isolated incidences of treatable illness. This approach involves working in ways that facilitate and empower people and communities to develop their strength and confidence while at the same time addressing concrete problems in a manner which enables them to make their own decisions and maintain some control over the outcomes. This approach is concerned with building consensus and participation in the community and using strategies of empowerment such as providing communities with information, gaining resources, building community organisations and developing the skills to work and organise locally."

The report covers the outcomes of the program, for those in each of the target groups, and the outcomes for and effects on the workers themselves.

It will be of interest to those working in the area of illicit drug use, users and anyone interested in the issues that the matter raises.


Surviving Mental Illness

Editors: S Robertson, M Teeson, K Kellehear, V Miller, J Farhall
ISBN: 0 646 25110 4
Publisher: Mental Health Services Conference Inc of Australia and New Zealand
Address: PO Box 192, Balmain, NSW, 2041

The 4th Annual Mental Health Services Conference (THE M*H*S Conference) was held at Melbourne University in September 1994.

Over 190 papers and workshops were availabe for the audience of 900. Represented in the proceedings were consumers, researchers, service providers and managers.

Four keynotes addresses were delivered: "Economic opportunities and disincentives for the mentally ill" given by Richard Warner and Paul Polak; "Cognitive psychotherapy with schizophrenic patients - a schema focused integrated approach" given by Carlo Perris; "Recovery from mental illness" given by Agnes B. Hatfield and "The removal and return of competence and power to consumers" given by Mary O'Hagan.

Mary O'Hagan's address is a startling insight into her life. It is told with a lucidity and poetry that is profoundly moving. This paper will leave any reader wiser about the mental health system and wiser because of the experiences that Mary has so generously shared. It is written in two parts. Part One which Mary entitled "The Removal of Competence and Power" is a cut and paste of excerpts from her journal and the hospital notes written during one of her episodes of mental distress. "I wrote most of the journal entries during my last stay in hospital while I crouched in the safety of a locked toilet. With enormous effort I created coherent sequences of words out of the chaos inside me and recorded them in tiny faint handwriting. This was one of the most intense and profound experiences of my life - but down the other end of the long polished corridor, others recorded their own version of my distress in the course of a very ordinary day's work."

The second part of the paper, entitled "The Return of Competence and Power" starts six months after Mary's last discharge from hospital ten years ago and traces some of her experiences as a consumer representative, provider and decision maker since that time. The threads through this part of the paper are voices from the consumer movement and from the mental health system. All the material is taken from Mary's journal entries, interviews, other people's writings and occasionally straight from memory.

The ten papers cover subjects such as the services available for children of parents experiencing major mental illness, gender and family responsibility issues in vocational rehabilitation for people with mental health related conditions and an interesting paper entitled "Of bricks and mortar and shoestrings: Supported community housing on the NSW North Coast" which details an innovative approach to housing for mentally ill residents in an area that has one of the lowest standards of living in the state.

Ten reports and commentaries include one on suicide prevention from a consumer point of view - the father of a teenage son who suicided; a paper addressing "Mental health workers surviving mental illness" and a paper looking at the results of a national study on factors affecting employment outcomes for people with psychiatric disabilities.

A further fourteen papers have been included under the heading "Sharing Information", covering such issues as "The importance of Recreation and Leisure in the lives of People with a Serious Mental Illness", "Post Placement Support and Job Retention for People with Psychiatric Disabilities" and "Psycho-social Rehabilitation for Women with Serious Mental Illness and Dependent Children". A number of papers report on specific community based projects both in Australia and New Zealand.



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