Family Planning NSW

Abstract The global fashion industry is changing with the integration of digital technologies. Designers now employ digital design software, tools and technology to develop innovative designs, purchase fabrics and materials and market their new designs. Digital media and technology have also contributed to the growth of influencers and personal stylists who use social media and apps to offer reviews and advice, including personal devices that leverage machine learning and algorithmic recommendation systems. This article brings together design anthropology and digital anthropology to understand the ways in which algorithms are increasingly entangled with notions of aesthetics and style. Comparing the ways in which style is created through ‘feeding’ and ‘reading’ the algorithm, the article draws upon Seaver’s notion of algorithmic cultures to explore two examples of the ways algorithms are made meaningful in people’s lives. The first example was carried out with professional women who experimented with a commercially available personal stylist device that provides algorithm‐based style recommendations. The second case study turns to the ways different fashion designers use and interpret social media algorithms to develop brands locally in Fiji and globally. By exploring the ways in which fashion and style‐oriented algorithms are used by different individuals and communities across the fashion value chain, the article examines how algorithmic technologies become enlivened as different people act, engage and interact with them and change over time.

The solution of linear systems of equations is the basis of many other quantum algorithms, and recent results provided an algorithm with optimal scaling in both the condition number κ and the allowable error ϵ \cite{CostaAnYuvalEtAl2022}. That work was based on the discrete adiabatic theorem, and worked out an explicit constant factor for an upper bound on the complexity. Here we show via numerical testing on random matrices that the constant factor is in practice about 1,200 times smaller than the upper bound found numerically in the previous results. That means that this approach is far more efficient than might naively be expected from the upper bound. In particular, it is about an order of magnitude more efficient than using a randomised approach from \cite{jennings2023efficient} that claimed to be more efficient.

Bioclimatic design, rooted in vernacular architecture, aims to create buildings that harmonise with their local climate and context. Over the past five decades, continuous advancements have strengthened its foundation for climate-responsive architecture. However, the development of bioinspired thinking extends new opportunities to enhance ecological sustainability and innovation in bioclimatic design. This study introduces Bioinspired Climatic Design (BCD) as an advancement of bioclimatic design, integrating ecological processes, human behaviour, and high-resolution climate data to create sustainable, climate-responsive low-carbon architecture. Focusing on residential buildings in hot–humid climates, it categorises BCD strategies into primary and modifying adaptive approaches, examined through four case studies using observation and spatial analysis. Findings emphasise the importance of aligning design with climate, ecology, and occupant behaviour to achieve low-carbon, resilient architecture, especially in challenging conditions. The research calls for a paradigm shift from conventional climate-responsive design towards a holistic, ecologically integrated framework for future-oriented built environments.

Little is known regarding the impact of gestation on pain, bleeding duration, and satisfaction in early medical abortion (termination of pregnancy). This study aimed to determine if pain experience, bleeding duration, and overall satisfaction with medical abortion differed across four ultrasound-defined categories of early pregnancy. This is a secondary analysis of the multicenter VEMA-trial, a randomized clinical trial on the efficacy and safety of very early medical abortion before confirming pregnancy location (the VEMA-trial, EudraCT 2018-003675-35, ClinicalTrials.gov NCT03989869). The present study included participants with normally developing pregnancies and known abortion outcomes, including complete abortion, incomplete abortion, and ongoing pregnancy, that is, pregnancy still progressing after medical abortion. Participants were grouped by ultrasound findings at the time of abortion into pregnancy of unknown location, early, normally sited pregnancy (empty sac), and normally sited pregnancy with visible yolk sac or visible embryo. Pain experience was measured on the 0-10 numeric rating scale (higher values for more pain), duration of bleeding in days, and satisfaction on a 0-6 scale (higher values indicating greater satisfaction). Altogether 1253 participants were included: 18% (224 participants) with pregnancy of unknown location, 38% (476) with early, normally sited pregnancy, 24% (301) with visible yolk sac, and 20% (252) with visible embryo. Pain scores were lowest in the pregnancy of unknown location group (mean 5.2 ± SD 2.3) and highest in the pregnancy with visible embryo group (6.2 ± 2.4). Bleeding duration was shortest for pregnancies of unknown location (4.9 ± 3.2) and longest for those with visible embryo (7.5 ± 5.3). Mean satisfaction was over 5 in all groups, highest in early, normally sited pregnancies (5.7 ± 0.7). In regression analyses, both pain scores and bleeding duration increased with advancing ultrasound findings. The pregnancy of unknown location group reported the least pain (1.02 points lower, 95% Confidence Interval [CI] -1.46 to -0.57) and the shortest bleeding duration (34% shorter, incidence rate ratio 0.66, 95% CI 0.61 to 0.71) compared to pregnancies with visible embryo. More advanced ultrasound findings are associated with higher pain scores and longer bleeding duration in very early medical abortion, whereas satisfaction is high across ultrasound-defined categories.

Burn survivors have an increased risk for heat-related illnesses and a heightened perceptual strain during exercise (thereby impeding physical activity), both due to impaired body temperature regulation. We developed and validated a freely deployed online model that burn survivors can use to estimate their heat risk during physical activity. Model inputs included environmental conditions, physical activity intensity and duration, body size, clothing, and burn injury size. The developed model predicts heat risk categorized as either low to moderate (change in core temperature <1.7°C) or high to extreme (change in core temperature ≥1.7°C). We compared the core temperature responses and predicted heat risk from laboratory trials conducted in adults 19 to 61 yr of age with well-healed burn injuries ( n = 134) or simulated burn injuries ( n = 157). Burn injury sizes ranged from 20% to 80% of body surface area. Trials were conducted in our laboratory across a variety of environmental conditions (25°C to 39°C and 20% to 40% relative humidity) and exercise intensities (46 to 357 W·m -2 ). With heat risk as a binary outcome, the predictive accuracy of the model was 85%. The specificity of the model was 85%, and the sensitivity of the model was 79%. The positive predictive value was 27% and the negative predictive value was 98%. The developed model ( www.bsrcalculator.org ) predicts heat risk across a variety of environmental conditions and exercise intensities. We anticipate that this tool will inform individuals of their potential risk (or lack thereof) associated with performing physical activity in the heat while also promoting a physically active lifestyle in burn survivors.

It is important for general practitioners (GPs) to understand the barriers and facilitators that transgender, gender-diverse and non-binary patients (TGDNB) experience when accessing health care. The aim of this study was to explore the experiences of patients accessing and receiving gender-affirming care. Patients who attended a sexual health clinic for gender-affirming care (GAC) were invited to participate in a feedback questionnaire that explored the referral process, access to care and perceptions of the clinic. Few patients found out about the service from their GP. Many patients had difficulty accessing GAC but, once aware of services, most had no difficulty obtaining a GPreferral. Difficulties accessing GAC included a lack of knowledge from medical professionals, lengthy and complicated processes, cost, confidentiality concerns and being misgendered. Patients found inclusive signage helpful and appreciated being asked about pronouns and chosen name. There was a high level of satisfaction with GAC. GPs should be aware of strategies to ensure TGDNB patients feel safe accessing healthcare, including the availability of specialist services and referral pathways.

To explore mental health clinicians' attitudes, experiences, and perceived barriers regarding Advance Care Planning (ACP) with older people (aged 55+) with schizophrenia/other psychotic illnesses. Qualitative analysis of focus group interviews with multidisciplinary mental health clinicians from public mental health services in Sydney, Australia. A senior external clinician facilitated online focus groups exploring clinicians' attitudes, experiences, and perceived barriers to ACP using a semi-structured interview guide. Transcripts were recorded and transcribed. N-VIVO was used to organise the data, which were subjected to reflexive thematic analysis grounded with an interpretive description framework. Fifteen mental health clinicians were recruited. Two overarching themes emerged from thematic analysis of focus group transcripts: (1) It is important, and I want to do it: and (2) But I do not do it because of the complexity. Subthemes in relation to this complexity included: (i) fear of harming; (ii) families and culture; (iii) systemic barriers; (iv) capacity and legal issues; (v) timing; (vi) lack of knowledge and training; (vii) neither prioritised nor embedded in practice. These clinician-identified attitudes, experiences, and barriers to engagement in ACP with older people with psychotic illnesses highlight avenues of potential intervention to facilitate ACP in this cohort. Given the complexity of issues, clinicians need education and training in ACP combined with clear processes and policies to support practice. Clinician insights should be combined with the perspectives of older consumers with psychotic illnesses and their families to inform implementation of ACP.