E‐cigarette use and the relationship to smoking among Aboriginal and Torres Strait Islander and non‐Indigenous Australian Secondary Students, 2017

Objective: Estimate the prevalence of e-cigarette use (vaping) among Aboriginal and Torres Strait Islander adolescents and explore the relationship between vaping and tobacco use. Methods: N=18,199 students aged 12–17 years (n=1,097 Aboriginal and Torres Strait Islander) participating in the 2017 Australian Secondary Students’ Alcohol and Drug (ASSAD) Survey self-reported their e-cigarette and lifetime, past month and past week smoking behaviours. Results: Twenty-two per cent of Aboriginal and Torres Strait Islander students (14% all) reported having ever used e-cigarettes. Significantly greater odds of e-cigarette use among Aboriginal and Torres Strait Islander students was observed overall, but not among regular (past month/week) smokers. There were significant associations between e-cigarette use and any level of smoking for all students (p<0.001), with no variation by Indigenous status. While e-cigarette use was more common among smokers, 28% of Aboriginal and Torres Strait Islander ever-vapers (35% all ever-vapers) were never smokers. Conclusions: There is substantial prevalence of e-cigarette ever-use among Australian secondary students, including Aboriginal and Torres Strait Islander students, and a strong relationship with tobacco use. Implications for public health: Policies facilitating e-cigarette access must not undercut tobacco control efforts for adolescents, particularly Aboriginal and Torres Strait Islander people who continue to experience higher smoking rates

The hearing of fitness to practice cases by the General Medical Council: Current trends and future research agendas

Over the last three decades a risk-based model of medical regulation has emerged in the United Kingdom. To promote a risk-averse operational culture of transparency and professional accountability the regulatory state has intervened in medical governance and introduced best-evidenced practice frameworks, audit and performance appraisal, Against this background the paper analyses descriptive statistical data pertaining to the General Medical Council’s management of the process by which fitness to practice complaints against doctors are dealt with from initial receipt through to subsequent investigative and adjudication stages. Statistical trends are outlined regarding complaint data in relation to a doctor’s gender and race and ethnicity. The data shows that there has been an increase in rehabilitative and/or punitive action against doctors. In light of its findings the paper considers what the long-term consequences may be, for both patients and doctors, of the increasing use of risk-averse administrative systems to reform medical regulation and ensure professional accountability

Rethinking False Spring Risk

Temperate plants are at risk of being exposed to late spring freezes. These freeze events - often called false springs - are one of the strongest factors determining temperate plants species range limits and can impose high ecological and economic damage. As climate change may alter the prevalence and severity of false springs, our ability to forecast such events has become more critical, and it has led to a growing body of research. Many false spring studies largely simplify the myriad complexities involved in assessing false spring risks and damage. While these studies have helped advance the field and may provide useful estimates at large scales, studies at the individual to community levels must integrate more complexity for accurate predictions of plant damage from late spring freezes. Here we review current metrics of false spring, and how, when and where plants are most at risk of freeze damage. We highlight how life stage, functional group, species differences in morphology and phenology, and regional climatic differences contribute to the damage potential of false springs. More studies aimed at understanding relationships among species tolerance and avoidance strategies, climatic regimes, and the environmental cues that underlie spring phenology would improve predictions at all biological levels. An integrated approach to assessing past and future spring freeze damage would provide novel insights into fundamental plant biology, and offer more robust predictions as climate change progresses, which is essential for mitigating the adverse ecological and economic effects of false springs

Coupled basin-detachment systems as paleoaltimetry archives of the western North American Cordillera

Stable isotope paleoaltimetry data from the Snake Range metamorphic core complex (MCC) and Sacramento Pass Basin (NV, USA) document that extensional mylonite zones and kinematically linked syntectonic basins reliably record paleotopography in the continental interior of western North America when compared to a sea-level reference. Here we show that this basin-MCC pair tracks meteoric fluid flow at different levels of actively extending crust in a high-topography region during Oligo-Miocene extension of the Basin and Range Province. For paleoaltimetry purposes we compare multi-proxy oxygen (δ 18O) and hydrogen (δD) isotope data as well as geochronological information from the Snake Range MCC to a time-equivalent (ca. 20Ma) stable isotopic proxy record from the Buckskin Mountains MCC (AZ, USA), which developed next to the Pacific Coast near Miocene sea level. We complement this paleoaltimetry study by comparing the Buckskin Mountains MCC data with older (~35Ma) lacustrine stable isotope and paleofloral records from the nearby House Range (UT, USA), whose paleoelevation has been determined independently through paleobotanical analysis. Each of the investigated compartments of the paleohydrologic system within the Snake Range MCC depicts a coherent scenario of low Oligo-Miocene δ 18O and δD values of meteoric water that reflect precipitation sourced at high elevation. A 77‰ difference in δD water between the Snake Range (δD water~-113‰) and the Buckskin Mountains (δD water~-36‰) is consistent with minimum mean paleoelevation of the Snake Range of about 3850±650m above Miocene sea level. Additional support for such elevations comes from a comparison between the Buckskin Mountains MCC and the Eocene House Range basin (UT, USA) where differences in δ 18O water values are consistent with 2300±500m minimum paleoelevation of the House Range. Based on the presence of brecciated rock-avalanche deposits within the Sacramento Pass Basin, we conclude that the Snake Range was a topographic high and locus of significant relief during regional scale extension within the Cordilleran hinterland. © 2012 Elsevier B.V

Scoping biological indicators of soil quality Phase II. Defra Final Contract Report SP0534

This report presents results from a field assessment of a limited suite of potential biological indicators of soil quality to investigate their suitability for national-scale soil monitoring

A Source of Bacterial Blight Resistance For Soybeans

Incidence of bacterial blight of soybeans was observed from 1953 to 1959. During this period the disease was observed in 25 to 72 percent of the fields examined. A search was made for an improved source of blight resistance. A soybean introduction, P.I. 68708 was resistant to blight under natural conditions and when inoculated. It was also resistant to brown spot but was susceptible to race 8 of Peronospora manshurica as well as to Phytophthora rot. Yield, date of maturity, seed size, seed quality, and lodging resistance of the introduction were comparable to the same characters of the variety Blackhawk

Investigating Women's Experiences of Asthma Care in Pregnancy: A Qualitative Study.

Background : Most asthmatic women have normal pregnancies and complications are infrequent when their asthma is well-controlled. Symptom control and medical treatment are concerning to pregnant asthma suffers, as is the impact that their illness and treatment might have on their unborn baby. The aim was to investigate in a qualitative study the thoughts and feelings of women's experiences of asthma in pregnancy. Twenty-two women with asthma who had a pregnancy within two years were asked to participate. Seven women were interviewed when data saturation was achieved. Interviews were transcribed and analysed using the 'Framework' Method, independently analysed by two researchers and consensus reached concerning the construction of themes. The key themes that emerged were Asthma and pregnancy; Pregnancy and post-natal experiences; and Health professionals. These findings are globally interesting because of the prevalence of maternal asthma and they illustrate participants' experiences concerning their asthma care and their views on its improvement. Pregnant asthmatic women have concerns about their care and treatment which might be alleviated by outreach, joint working between respiratory doctors and nurse specialists, midwives and General Practice nurses. Targeted educational activities could form a part of this care delivery