The Evolution of Corryong/Nariel Creek since European Settlement: Implications for On-going Management Prioritisation

Geomorphological stability is a useful starting point to inform river management priorities, as it is critical to other river health parameters such as ecology and water quality. A key debate in channel stability is the relationship between climate and human activity. Corryong Creek is an ideal setting to study the interaction between climate and anthropogenic changes on channel evolution as it has experienced significant levels of both. Catastrophic floods have been induced by high rainfall, the floodplain has been completely cleared, the riparian zone is almost entirely invaded by willows, and every reach of the channel has experienced some form of channel modification. The impacts of both climatic and anthropogenic factors are visible in our channel change data, although at different spatiotemporal scales. Higher flows during La Niña resulted in channel widening while lower flows during El Niño resulted in channel narrowing. In addition, land clearing had caused the river to evolve into a higher-energy, straighter channel, while spatially variable and temporally irregular factors such as river engineering, willow density and stock trampling tended to intensify erosion on a reach scale. As our analysis shows that periodic increases in erosion during La Niña are expected, the local community needs to first accept and adapt to some level of channel erosion in order to avoid catastrophic damage during floods. As the second priority, since the reversibility of these factors are limited, erosion risk can be mitigated through strengthening willow management, limiting river engineering, practicing bushfire management, and fencing the riparian zone

The Comparative Efficiency of Speech Sound Interventions That Differ by Delivery Modality: Flashcards Versus Tablet

Although speech-language pathologists increasingly make use of tablets in clinical practice, little research to date has evaluated the effectiveness or efficiency of tablet use for targeting speech sound goals. The three-fold purpose of this study was to compare (a) the effectiveness and (b) the efficiency of speech sound intervention using tablets versus flashcards, as well as (c) child motivation in speech sound intervention when using tablets versus flashcards. Four kindergarten students with at least two similar speech sound errors participated in this adapted alternating treatments single subject design study that explored the functional relation between speech sound intervention that differed by modality of delivery (tablet versus flashcards) and increased speech sound skill in elementary school children with speech sound errors. Flashcards and tablets were both effective speech sound intervention modalities; however, for three of four participants, flashcards were more efficient than tablets. Motivation ratings did not differ across modalities

Pimecrolimus 1% cream for anogenital lichen sclerosus in childhood

BACKGROUND: Lichen sclerosus is a chronic inflammatory disease with a predilection of the anogenital region. Because of the potential side effects of repeated local application of potent glucocorticosteroids, equally-effective, safer therapeutic options are required, especially in the treatment of children. CASE PRESENTATIONS: We report on the efficacy of twice-daily application of pimecrolimus 1% cream in four prepubertal girls (range of age: 4 to 9 years) who suffered from anogenital lichen sclerosus. After three to four-month treatment, all patients had almost complete clinical remission including relief from itch, pain and inflammation. Only minor improvement was observed for the white sclerotic lesions. No significant side effects have been observed. CONCLUSIONS: Topical pimecrolimus appears to be an effective and safe treatment for children with anogenital lichen sclerosus. The clinical benefits observed in the four patient presented particularly include relief of pruritus, pain and inflammation. Vehicle-controlled studies on a larger number of patients are now warranted to substantiate our promising findings, and to investigate long-term efficacy and safety of topical pimecrolimus in anogenital lichen sclerosus

Complex circular subsidence structures in tephra deposited on large blocks of ice: Varða tuff cone, Öræfajökull, Iceland

Several broadly circular structures up to 16 m in diameter, into which higher strata have sagged and locally collapsed, are present in a tephra outcrop on southwest Öræfajökull, southern Iceland. The tephra was sourced in a nearby basaltic tuff cone at Varða. The structures have not previously been described in tuff cones, and they probably formed by the melting out of large buried blocks of ice emplaced during a preceding jökulhlaup that may have been triggered by a subglacial eruption within the Öræfajökull ice cap. They are named ice-melt subsidence structures, and they are analogous to kettle holes that are commonly found in proglacial sandurs and some lahars sourced in ice-clad volcanoes. The internal structure is better exposed in the Varða examples because of an absence of fluvial infilling and reworking, and erosion of the outcrop to reveal the deeper geometry. The ice-melt subsidence structures at Varða are a proxy for buried ice. They are the only known evidence for a subglacial eruption and associated jökulhlaup that created the ice blocks. The recognition of such structures elsewhere will be useful in reconstructing more complete regional volcanic histories as well as for identifying ice-proximal settings during palaeoenvironmental investigations

Interaction of ENSO-driven Flood Variability and Anthropogenic Changes in Driving Channel Evolution: Corryong/ Nariel Creek, Australia

This is an Accepted Manuscript of an article published by Taylor & Francis in Australian Geographer on 03/09/2015, available online: 10.1080/00049182.2015.1048595Understanding the relative contributions of climatic and anthropogenic drivers of channel change are important to inform river management, especially in the context of environmental change. This global debate is especially pertinent in Australia as catchments have been severely altered since recent European settlement, and there is also strong evidence of cyclical climate variability controlling environmental systems. Corryong/Nariel Creek is an ideal setting to further study the interaction between climate and anthropogenic changes on channel evolution as it has experienced both significant periods of flood and drought, controlled by the El Niño Southern Oscillation (ENSO), and extensive anthropogenic changes. Since European settlement the floodplain has been completely cleared, the riparian zone almost entirely invaded by willows, and every reach of the channel has experienced some form of direct channel modification. Through the combined analysis of channel evolution, climate changes and anthropogenic history of the river it was found that both the ENSO-driven climate and anthropogenic drivers are significant, although at different scales of channel change. Significant straightening in response to land clearing in the early twentieth century occurred before any records of direct channel modifications. Following this, most river management works were in response to instabilities created in the clearing period, or to instabilities created by flooding triggering a new phase of instability in reaches which had already undergone stabilisation works. Overall, human activities triggered channel instability via land clearing, and management works since then generally exacerbated erosion during high flows that are driven by climate fluctuations. This research raises the interesting question of whether rivers in Australia have become more responsive to the ENSO cycle since the clearing of catchment and riparian vegetation, or whether the past response to climate variability was different

Patient preferences for the allocation of deceased donor kidneys for transplantation: a mixed methods study

<p>Abstract</p> <p>Background</p> <p>Deceased donor kidneys are a scarce health resource, yet patient preferences for organ allocation are largely unknown. The aim of this study was to determine patient preferences for how kidneys should be allocated for transplantation.</p> <p>Methods</p> <p>Patients on dialysis and kidney transplant recipients were purposively selected from two centres in Australia to participate in nominal/focus groups in March 2011. Participants identified and ranked criteria they considered important for deceased donor kidney allocation. Transcripts were thematically analysed to identify reasons for their rankings.</p> <p>Results</p> <p>From six groups involving 37 participants, 23 criteria emerged. Most agreed that matching, wait-list time, medical urgency, likelihood of surviving surgery, age, comorbidities, duration of illness, quality of life, number of organs needed and impact on the recipient's life circumstances were important considerations. Underpinning their rankings were four main themes: enhancing life, medical priority, recipient valuation, and deservingness. These were predominantly expressed as achieving equity for all patients, or priority for specific sub-groups of potential recipients regarded as more "deserving".</p> <p>Conclusions</p> <p>Patients believed any wait-listed individual who would gain life expectancy and quality of life compared with dialysis should have access to transplantation. Equity of access to transplantation for all patients and justice for those who would look after their transplant were considered important. A utilitarian rationale based on maximizing health gains from the allocation of a scarce resource to avoid "wastage," were rarely expressed. Organ allocation organisations need to seek input from patients who can articulate preferences for allocation and advocate for equity and justice in organ allocation.</p

Exploiting the archive: and the animals came in two by two, 16mm, CD-ROM and BetaSp

This a post-print, author-produced version of an article accepted for publication in Area. Copyright © 1999 Wiley Blackwell. The definitive version is available at www3.interscience.wiley.comUsing an account of the construction and subsequent exploitation of the film archive at the BBC's Natural History Unit, this paper explores the ways in which animals are embedded in the different cultures of care, control and commodification in the zoo and the wildlife film-making unit. Network analysis is used to account for the similarities and tensions between these forms of animal exhibition, as revealed in the electronic zoo at Wildscreen World

Gordon Valentine Manley and his contribution to the study of climate change: a review of his life and work

British climatologist and geographer, Gordon Manley (1902–1980), is perhaps best known for his pioneering work on climate variability in the UK, for establishing the Central England Temperature series and, for his pivotal role in demonstrating the powerful relationship between climate, weather, and culture in post-World War II Britain. Yet Manley made many contributions, both professional and popular, to climate change debates in the twentieth century, where climate change is broadly understood to be changes over a range of temporal and spatial scales rather than anthropogenic warming per se. This review first establishes how Manley's work, including that on snow and ice, was influenced by key figures in debates over climatic amelioration around the North Atlantic between 1920s and 1950s. His research exploring historical climate variability in the UK using documentary sources is then discussed. His perspectives on the relationship between climate changes and cultural history are reviewed, paying particular attention to his interpretation of this relationship as it played out in the UK. Throughout, the review aims to show Manley to be a fieldworker and an empiricist and reveals how he remained committed to rigorous scientific investigation despite changing trends within his academic discipline

Modelling of the effect of ELMs on fuel retention at the bulk W divertor of JET

Effect of ELMs on fuel retention at the bulk W target of JET ITER-Like Wall was studied with multi-scale calculations. Plasma input parameters were taken from ELMy H-mode plasma experiment. The energetic intra-ELM fuel particles get implanted and create near-surface defects up to depths of few tens of nm, which act as the main fuel trapping sites during ELMs. Clustering of implantation-induced vacancies were found to take place. The incoming flux of inter-ELM plasma particles increases the different filling levels of trapped fuel in defects. The temperature increase of the W target during the pulse increases the fuel detrapping rate. The inter-ELM fuel particle flux refills the partially emptied trapping sites and fills new sites. This leads to a competing effect on the retention and release rates of the implanted particles. At high temperatures the main retention appeared in larger vacancy clusters due to increased clustering rate