Falls are the most common cause of injury admissions of elderly people to Victorian hospitals.Hospital deaths of injured elderly Victorians in aged care are largely due to falls, a study shows.
Falls accounted for more than 80 per cent of hospital deaths following an injury-related admission, according to a report by Monash University’s Victorian Injury Surveillance Unit.
The report calls for special attention to ensure the risk of falls is minimised and the impact of falls is reduced as much as possible.
A total of 188 residents in the state’s aged care facilities died in hospital during an injury-related hospital admission, during 2014/15 to 2016/17.
Fractures to the hip and thigh region accounted for the largest proportion of deaths.
After falls, choking or suffocation was the second leading cause of death.
In general, falls were the most common cause of injury admissions.
The report authors said the data showed the vulnerability of the elderly in care, especially considering two thirds of deaths were in the 85-94 age group.
The study looked at unintentional injury hospital admissions in Victorians aged 65 years and over living in residential aged-are facilities on a permanent or respite basis.
It called for state and federal funded investigations into injury among older people receiving care in their home, given the trend for older people to remain at home with paid or informal care.
However, while there is greater tendency for older people to live at home for longer, the number of people in residential aged care, and therefore the number of hospital admissions, is also likely to continue growing, it said.
Plastic straws may be banned for use in England in a year’s time after consultations are completed.The UK government is pushing to have plastic straws, stirrers and cotton buds banned throughout England in a bid to help protect the world’s oceans and wildlife.
Environment Secretary Michael Gove has launched a consultation into how to ban the items with the ban looking at being enacted between October 2019 and October 2020.
The consultation process, which applies to England only, will consider exemptions to make sure people who need plastics to deal with medical conditions or accessibility issues are not affected.
Under the plan, pharmacies would still be able to sell plastic straws and restaurants, pubs and bars would stock them for use on request only.
It is estimated that 4.7 billion plastic straws, 316 million plastic stirrers and 1.8 billion plastic-stemmed cotton buds are used each year in England.
Gove said the ban would be a boost to efforts to “turn the tide on plastic pollution”.
“Our precious oceans and the wildlife within need urgent protection from the devastation throw-away plastic items can cause,” he said.
“In England we are taking world-leading action with our ban on microbeads, and thanks to the public’s support have taken over 15 billion plastic bags out of circulation with our 5p charge.
“I commend retailers, bars and restaurants that have already committed to removing plastic straws and stirrers. But we recognise we need to do more.”
Greenpeace UK’s political adviser Sam Chetan Welsh commended ministers for doing “the sensible thing”, but urged big companies to do more by cutting down on plastic packaging.
He said: “Our society’s addiction to throwaway plastic is fuelling a global environmental crisis that must be tackled.
Kate Nicholls, chief executive of UKHospitality, welcomed the consultation, saying many restaurants and hotels have already begun taking action to cut down on plastics.
Prosecutor Chris Winneke says Zainab Abdirahman-Khalif aligned herself with the ideology of IS.An Adelaide woman is yet to decide if she will give evidence during the sentencing process after being found guilty of membership of the Islamic State terror group.
In South Australia’s first terrorism trial, Zainab Abdirahman-Khalif was found guilty by a Supreme Court jury in September of being a member of IS.
During the 23-year-old’s trial, prosecutor Chris Winneke QC said Abdirahman-Khalif had “wholly embraced the concepts and aligned herself with the ideology of the terror group.
The court was told on Monday that a psychologist had completed interviews with the woman and that report would be available within a week or so.
Defence counsel Bill Boucaut said it was important for the court had an understanding of the “family dynamics” ahead of sentencing his client.
Justice David Peek said the question of whether Abdirahman-Khalif gave evidence during sentencing submissions was a question entirely for her and her legal team.
He described the matter before him as a “difficult case” and said it was important for the court to “tread carefully” in terms of how it proceeded.
Justice Peek ordered the court and the DPP be provided with the psychological report by November 2 and listed a directions hearing on November 12.
He also set a tentative date for sentencing submissions of December 4.
During Abdirahman-Khalif’s trial, the court heard she was stopped by police at Adelaide Airport after she tried to board a plane to Istanbul in July 2016.
Carrying only hand luggage and less than $200 in cash, she told officers she intended to work for an aid organisation and expected her living expenses and the cost of a flight home would be covered.
She was later released, but arrested at the Port Adelaide TAFE SA campus in May 2017, following a year-long investigation.
In evidence, a counter-terrorism police officer said 127 video files of “investigative relevance” were found on her phone, and the jury was played a compilation of violent scenes.
The court also heard she had been in communication with three young women and knew about their deadly terror attack on a police station in Kenya before it occurred.
In his closing statements, Mr Winneke said as well as embracing the concepts and ideology of IS, Abdirahman-Khalif had gone a step further.
“She set off to go to Turkey, to engage with terrorists in the view of lending her support to Islamic State,” he said
“In doing so, she became a member of Islamic State.”
Japanese author Haruki Murakami says his books find their own endings as he just goes with the flow.Haruki Murakami says he enjoys writing novels because he doesn’t know how they’ll end.
The Japanese author behind global bestsellers like his latest “Killing Commendatore” has told Tokyo FM that when he’s writing his books he just lets ideas pop up as he writes and goes with the flow allowing the story to take shape.
“It’s no fun writing a story if I already know how it’s going to end,” Murakami said on Sunday.
“Because the very person who is writing doesn’t know what happens, I think readers would also share the anticipation and enjoy the thrill while reading.”
“Murakami Radio” is a pre-recorded 55-minute show broadcast only in Japan – his second this year on Tokyo FM after his first in August was a big hit.
Music serves as important motifs in his stories. An avid listener and collector of music, he has also written books on the topic.
During Sunday’s show, Murakami played a selection of cover versions from jazz and pop. He opened the show paying tribute to Aretha Franklin, playing her version of Frank Sinatra’s “My Way,” which he only played partially in his earlier show, a week before the American singer died.
Murakami said he is a “cover maniac” as he likes to listen to the tunes covered in different styles and interpretations.
Murakami, 69, began writing while running a jazz bar in Tokyo after graduating from university. His first novel, “Hear the Wind Sing,” came out in 1979, and the 1987 romantic novel “Norwegian Wood” was his first best-seller, establishing him as a young literary star. Recent best-sellers include “1Q84” and “Colorless Tsukuru Tazaki and His Years of Pilgrimage.”
A perennial contender for the Nobel literature prize, Murakami got a break from the attention this year when there was no award given in the category due to a committee scandal.
Murakami appeared earlier this month at a talk event hosted by the New Yorker magazine in New York, marking the US debut of his latest novel. Murakami told the New Yorker in August that his original inspiration for the latest novel came from the 18th century ghost story. He said he also wants to write something of an homage to “The Great Gatsby.”
A driver accused of killing six people during a rampage through Melbourne’s Bourke Street believes God will exonerate him of guilt before a comet strikes earth, the Supreme Court has been told.
James “Dimitrious” Gargasoulas on Monday faced day one of a hearing before a jury to determine if he is fit to stand trial on six counts of murder and 28 counts of attempted murder over the January 2017 incident.
Both the defence and prosecution agree Gargasoulas has schizophrenia and suffers delusions, but disagree whether he is fit to stand trial.
Defence barrister Theo Alexander argued Gargasoulas was unable to meet three criteria required of an accused person facing trial, including his ability to enter a plea, understand the substantial effect of evidence or instruct his lawyer.
But crown prosecutor Kerri Judd QC argued Gargasoulas was “not consumed by his delusional beliefs”.
She said he was making a bid to instead be held at Thomas Embling psychiatric hospital, with a possible future release.
The court was told Gargasoulas had treatment-resistant paranoid schizophrenia with “Messianic delusions”, and acknowledged he had ploughed through pedestrians last year but believed “God made him do it”.
Forensic psychiatrist Lester Walton told court Gargasoulas was on his sixth antipsychotic medication and was in the early stages of treatment with a “last resort”, potentially life-threatening drug.
Dr Walton said he believed Gargasoulas was unable to enter a plea due to his delusions, believing “he was acting under divine instruction” when he allegedly drove through pedestrians.
“‘My mission is to reinstate God’s law, which will redeem myself,'” he quoted from Gargasoulas.
“I will become king before the end of this court case.
“If I don’t reinstate God’s law, we are all going to die.”
Dr Walton said Gargasoulas could not “meaningfully enter a plea”, regarding that as “irrelevant” to his mission.
“He wants to be recognised as the king. This will happen, apparently, during the course of the trial once a comet arrives,” he said.
He added Gargasoulas believed that he needed to “have his day in court” to persuade everyone of his world view, “or we will all perish”.
Dr Walton, who spent about four hours assessing Gargasoulas in custody, said he didn’t believe he was mentally ill, but was a compliant patient.
Several experts are expected to testify during the fitness hearing, including forensic psychiatrist Andrew Carroll and forensic psychologist Michael Daffern, a prosecution witness, who will argue that Gargasoulas is in fact fit for trial.
The hearing continues.
A memorial tree sculpture commemorates the suffering of child abuse victims and survivors.FULL TEXT OF ABUSE APOLOGY:
Today the Australian Government and this parliament, on behalf of all Australians, unreservedly apologises to the victims and survivors of institutional child sexual abuse.
For too many years our eyes and hearts were closed to the truths we were told by children.
For too many years governments and institutions refused to acknowledge the darkness that lay within our community.
Today, we reckon with our past and commit to protect children now and into the future.
Today, we apologise for the pain, suffering and trauma inflicted upon victims and survivors as children, and for its profound and ongoing impact.
As children, you deserved care and protection. Instead, the very people and institutions entrusted with your care failed you. You suffered appalling physical and mental abuse, and endured horrific sexual crimes.
As fellow Australians, we apologise for this gross betrayal of trust and for the fact that organisations with power over children — schools; religious organisations; governments; orphanages; sports and social clubs; and charities — were left unchecked.
Today, we say we are sorry. Sorry that you were not protected, sorry that you were not listened to. We are sorry for refusing to trust the words of children, for not believing you.
As we say sorry, we also say we believe you. We say what happened was not your fault.
We are sorry that perpetrators of abuse were relocated and shielded rather than held to account, that records have been withheld and destroyed, and accountability avoided.
We are sorry that the justice and child welfare systems that should have protected you, were at times used to perpetrate yet more injustices against you.
We apologise for the lifelong impacts this abuse has had on your health, your relationships, and your ability to live life to its full potential.
We also extend this apology to your children, your parents, siblings, families, friends and supporters; all those who have helped carry the burden of your experiences and helped advocate for accountability.
We regret that your children’s lives have been changed and relationships have been broken by the enduring effects of abuse.
We hear the rage, despair and hurt of parents whose trust was betrayed along with your own.
We admit that we failed to protect the most vulnerable people in our society from those who abused their power.
Our community believed people and institutions who did not deserve our trust, instead of believing the children who did.
Because of our inaction, too many victims are no longer with us to hear this apology.
They did not live to see the justice they deserved. But today we remember them, and we extend this apology, along with our sincere sympathies, to their families, friends and supporters.
As we say sorry, we honour the courage of survivors and advocates who spoke out to expose sexual abuse in our institutions, often at great personal cost.
Your voices saved lives. Your bravery has allowed us to uncover this dark chapter of our national life and understand what we must now do to protect children.
We also acknowledge the many victims and survivors who have not spoken of their abuse. Your suffering is no less anguished for your silence.
Together, as a government, a parliament and a community we must all play a role in the protection of children from abuse.
We must accept our responsibility to keep our eyes and ears open and speak out to keep our children safe.
We must listen to children and believe what they tell us.
Child sexual abuse is a serious criminal act, and a violation of Australian law. Perpetrators must and will be held to account.
Today, we commit to take action, to build awareness in our community and strengthen our systems to promote children’s safety across Australia.
We commit to ensuring that all of our institutions are child-safe.
We know that we must and will do better to protect all children in Australia from abuse and that our actions will give true and practical meaning to this apology.
Our children deserve nothing less.
It’s often been said that one of the manychallenges facing those who have been sexually assaulted is the fear that others won’t believe them. The concept ofbelief played a key role in the historic national apology to child victims of sexual abuse at Parliament House on Monday.
“It reflects all of the sentiments that I have expressed on behalf of the Australian people, this parliament and our government, and I table that and, as I do, I simply say I believe you, we believe you, your country believes you,” Prime Minister Scott Morrison said at the close of his address.
It’s a sad twist of fate that on the same morning NSW Police issued a statement saying a reported daylight, publicsexual assault of a young girl in the Hunter last week did not happen.
The 14-year-old raised the alarm on Wednesday after she was reportedly dragged into the bush only a few metres from a cluster of homesat Windale and sexually assaulted at knife point. The attack was described as “brazen” and “shocking” by senior police, who threw a significantamount of resources into their effort to catch the man the teenager described to them.
Police from the State Crime Command’s Sex Crimes Squad were enlisted to help Lake Macquarie police withthe investigation into the allegations. Neighbours expressed shock and fear after the reported attack, many with children of their own, wondering how something so repulsive could happen a stone’s throw from their backyards.
But on Monday morning, police labelled it a “false report” andsaid officers had spoken with the teenager and support services were being offered to her.
As news broke, reactions ranged fromanger toconcern for the teenager.
It’s important to remember that we are talking about a 14-year-old –a child. Most of us have no real insight into her life or circumstances.Few would have argued, based on the facts that emerged last week, that any delay to the investigation was an acceptable option.
It is vital anynext step is driven by clarifying the consequences of a false report rather than any punitive urge.Ultimately, it’svital that believingthe brave peoplewho step forward and report instances of sexual assault or abuse takes priority over preservation of resources. Both authorities and the public must ensure that the benefit of the doubt stays with those who need it most.
A copy of Stephen Hawking’s book with his thumbprint autograph is among items being auctioned.Possessions belonging to late physicist and cosmic visionary Stephen Hawking, including his doctoral thesis, one of the world’s most iconic wheelchairs and a script from “The Simpsons”, are going under the hammer.
Auction house Christies is handing the sale featuring 22 items from Hawking, including his thesis on the origins of the universe, some of his many awards, and scientific papers such as “Spectrum of Wormholes” and “Fundamental Breakdown of Physics in Gravitational Collapse.”
Thomas Venning, head of Christies’ books and manuscripts department, said the papers “trace the development of his thought – this brilliant, electrifying intelligence.”
“You can see each advance as he produced it and introduced it to the scientific community,” Venning said.
Hawking’s fame rests only partly on his scientific status as the cosmologist who put black holes on the map.
Diagnosed with motor neuron disease at 22 and given just a few years to live, he survived for decades, dying in March at 76.
The auction includes one of five existing copies of Hawking’s 1965 Cambridge University Ph.D. thesis, “Properties of Expanding Universes,” which carries an estimated price of GBP100,000 ($A184,000) to GBP150,000.
Venning said the thesis, signed by Hawking in handwriting made shaky by his illness, is both a key document in the physicist’s scientific evolution and a glimpse into his personal story.
“He was diagnosed with ALS (amyotrophic lateral sclerosis) just as he arrived in Cambridge to begin his Ph.D. studies,” Venning said. “He gave up his studies for a time because he was so despondent.
The thesis “was the fruit of him reapplying himself to his scientific work,” Venning said, and Hawking “kept it beside him for the rest of his life.”
The disease eventually left Hawking almost completely paralysed. He communicated through a voice-generating computer and moved in a series of high-tech wheelchairs. One is included in the sale, with an estimated price of GBP10,000 to GBP15,000.
Proceeds from its sale will go to two charities, the Stephen Hawking Foundation and the Motor Neurone Disease Association.
The items – part of a science sale that includes papers by Isaac Newton, Charles Darwin and Albert Einstein – will be on display in London for several days from October 30. The auction is open for bids between October 31 and November 8.
Julia Gillard who established the royal commission into child sex abuse isn’t forgotten by victims.It might be five years since Julia Gillard left politics, but her role in setting up the royal commission into child sex abuse will never be forgotten by victims.
During apology speeches from Prime Minister Scott Morrison and Opposition Leader Bill Shorten, Ms Gillard received rousing applause every time her name was mentioned.
It did not matter where survivors were gathered around Parliament House – lawns out the front, in the House of Representatives gallery, or the Great Hall – the former prime minister’s contribution to the cause is clearly appreciated.
She listened to the speeches in the chamber, before the audience at a later ceremony in the Great Hall heckled organisers to briefly let her speak.
Emotions were always going to run a high on such an important day for many Australia.
On filing out of the public gallery after the apology, many people – young and old – wept and embraced loved ones at their pain and suffering being recognised.
But arguably the most telling reaction came during Mr Shorten’s reply speech.
The Labor leader recalled a story about a victim who said he would not be travelling to Canberra for the apology.
“He said ‘these apologies are only so politicians can look good in front of the public’,” Mr Shorten said.
The yells and sheer noise from inside a close-to-capacity Great Hall at those words summed up how let down by the system victims feel.
On lawns outside Parliament House a few dozen people gathered to watch the apology being shown live onto a big screen.
Seated under gazebos erected on Federation Mall, the crowd sat in silence throughout the official proceedings.
Before them, a handful of people opted instead to disperse across chairs which could have catered for many more.
Along with the clear support for Ms Gillard, their collective quiet was broken only for Labor frontbencher Jenny Macklin and her fierce advocacy on behalf of survivors.
IN THE SWING: James Nitties has his sights set on topping the Australian money list. The 35-year-old will tee up in the West Australian Open starting Thursday. Picture: Ryan OslandThe Australasian order of merit is a big deal for James Nitties.
It’s the 35-year-old’s best chance of earning a return to one of the major tours.
It’s also the reason he made the long trip to Perth this week to compete at the $100,000 Western Australia Open.
Nitties sits third on the order of merit, having pocketed $188,156, approaching the main part of the season.
Daniel Nisbet heads the money list with $218,648. The leading player,not otherwise exempt, following the season-ending Australian PGA at Royal Pines (Nov 29-Dec 2) secures full status on the European Tour in 2019 as well as a start in the Open Championship and two World Golf Championshipevents.
“I’m trying to make as much money as I can for the moneylist,” Nitties said from Melbourne where he finished tied for 30th at the The Eynesbury Masters. “If I took Perth off and I ended up losing by $100, I would be a little angry. It’s rare that that would happen. I’m just giving myself every opportunity and I’d rather be playing than having a week off.”
After Perth, Nitties will tee up at the Queensland Open (Nov 1-4), NSW Open (Nov 8-11), Australian Open (Nov 15-18) and Australian PGA.
“I am pretty excited about the remainder of the year,” he said. “I’m hungry and pumped to be playing golf.”
Perth will be Nitties’ third tournament back after taking five weeks off to return to the US and visit his girlfriend.
“It was pretty chilled,” he said.” I just hung out with the missus, watched a bit of football and got away from it for a bit. Since I’ve been home I’veplayed 10 rounds of golf and it has poured rain in six of them. Cold and rainy is not my strength. The body is a bit old for that.I just want to be ready for the big three [tournaments] and play myself back into form in the next two weeks.”
He has been workingwith coach, Jason Laws, mainly on his short game.
“The game could be a little bit sharper,” Nitties said. “My putting is just so up and down. I’m trying to get consistently confident with what I’m doing. Try to clear the mind so I can hole some putts.I’m not yipping putts or anything. I just need to see some go in and the rest of the game becomes a little easier.”
Blake Windred, who is a member of the Australian Amateur team, is also in the WA Open field
* Nathan Green continued his love affair with Royal Sydney when he won a 36-hole invitational pro-am onSunday.
Green carded three-over to win the title for a second straight year. Green led the 2006 Australian Open for two rounds at the famous Rose Bay layout after opening with a five-under 67.
* Taree’s Reid Brown fired a two-under 69 to win the Toronto Cup on Saturday. Mick Browning also went two-under but had a prior engagement in the afternoon and forfeited the play-off. Brian Carmichael and Mark Ellison were equal third at even par.
* Matt Stieger fired an 11-under 61 to win the Land Rover Charlestown big hole pro-am last Tuesday.
Stieger finished three strokes in front of Leigh McKechnie and Jake Higginbottom.Ben Wedmaier won the $1000 shoot out at the 18thhole.
* Charlestown professional Ryan Smith was a finalist in the Golf NSW coach of the year award presented on Monday night. The other finalists were NSW Golf High Performance coach Dean Kinney and Khan Pullen, who coaches Australian Open winner Cameron Davis.
Charlestown’s Blake Windred was a finalist in the player of the year.
* Jake Higgingbotton headed to Delhi this week for the India Open full of confidence after winning the $11,000 Waratahpro-am on Saturday.
Higginbottom went on a birdie blitz to finish six under, two strokes clear of Stieger andDavidVan Raalte.
The 25-year-old is 70th on the Asian Tour money list and needs to earn about $20,000 in the final four events to retain his card.
* Muree’s Brayden Brooks carded a three-over 73 to win the Merewether Junior Classic on Sunday from his younger brother Jaxon. Nelson Bay 13-year-old Felix Kaluski won thenett with 68. Lanna New, who is only nine, won the girl’s nett with 74.