229 research outputs found
Community priority setting for fetal alcohol spectrum disorder research in Australia
Introduction
Fetal Alcohol Spectrum Disorder (FASD) is a neurodevelopmental disorder caused by prenatal alcohol
exposure (PAE). FASD research is a rapidly growing field that crosses multiple disciplines. To ensure
research is relevant and meaningful for people living with FASD, their families, and the broader public
there is a need to engage community members in setting priorities for research.
Objectives
Our primary objective was to formally identify the views of people living with FASD, their par-
ents/caregivers, service providers, and the general community on the research priorities for FASD
and alcohol use in pregnancy in Australia. Our secondary objective was to provide an overview of
current research in the highest priority areas identified.
Methods
The approach for this study involved two community surveys and a consensus workshop, followed by
a rapid literature review. Survey responses (n = 146) were collected and grouped using qualitative
thematic analysis. The themes identified were then ranked in a second survey (n = 45). The 22
highest ranked themes were considered in a workshop with 21 community members, and consensus
on the top ten priority areas was sought. The priority areas were grouped into conceptually similar
topics and rapid literature reviews were undertaken on each.
Results
A diverse range of priorities was identified within key areas of prevention, diagnosis, and therapy. On
request from participants, separate priority lists were developed by Aboriginal and non-Aboriginal
participants.
Conclusions
There is need for a national network of researchers to take forward the research commenced by the
Centre of Research Excellence, FASD Research Australia, in addressing community prioritie
Classification of non-indigenous species based on their impacts: Considerations for application in marine management
Assessment of the ecological and economic/societal impacts of the introduction of non-indigenous species (NIS) is one of the primary focus areas of bioinvasion science in terrestrial and aquatic environments, and is considered essential to management. A classification system of NIS, based on the magnitude of their environmental impacts, was recently proposed to assist management. Here, we consider the potential application of this classification scheme to the marine environment, and offer a complementary framework focussing on value sets in order to explicitly address marine management concerns. Since existing data on marine NIS impacts are scarce and successful marine removals are rare, we propose that management of marine NIS adopt a precautionary approach, which not only would emphasise preventing new incursions through pre-border and at-border controls but also should influence the categorisation of impacts. The study of marine invasion impacts requires urgent attention and significant investment, since we lack the luxury of waiting for the knowledge base to be acquired before the window of opportunity closes for feasible management
C4 photosynthesis and the economic spectra of leaf and root traits independently influence growth rates in grasses
1. Photosynthetic pathway is an important cause of growth rate variation between species, such that the enhanced carbon uptake of C4 species leads to faster growth than their C3 counterparts. Leaf traits that promote rapid resource acquisition may further enhance the growth capacity of C4 species. However, how root economic traits interact with leaf traits, and the different growth strategies adopted by plants with C3 and C4 photosynthetic pathways is unclear. Plant economic traits could interact with, or act independently of, photosynthetic pathway in influencing growth rate, or C3 and C4 species could segregate out along a common growth rate‐trait relationship.
2. We measured leaf and root traits on 100+ grass species grown from seeds in a controlled, common environment to compare with relative growth rates (RGR) during the initial phase of rapid growth, controlling for phylogeny and allometric effects.
3. Photosynthetic pathway acts independently to leaf and root functional traits in causing fast growth. Using C4 photosynthesis, plants can achieve faster growth than their C3 counterparts (by an average 0.04 g g‐1 day‐1) for a given suite of functional trait values, with lower investments of leaf and root nitrogen. Leaf and root traits had an additive effect on RGR, with plants achieving fast growth by possessing resource‐acquisitive leaf traits (high specific leaf area and low leaf dry matter content) or root traits (high specific root length and area, and low root diameter), but having both leads to an even faster growth rate (by up to 0.06 g g‐1 day‐1). C4 photosynthesis can provide a greater relative increase in RGR for plants with a ‘slow’ ecological strategy than in those with fast growth. However, aboveground and belowground strategies are not coordinated, so that species can have any combination of ‘slow’ or ‘fast’ leaf and root traits.
4. Synthesis: C4 photosynthesis increases growth rate for a given combination of economic traits, and significantly alters plant nitrogen economy in the leaves and roots. However, leaf and root economic traits act independently to further enhance growth. The fast growth of C4 grasses promotes a competitive advantage under hot, sunny conditions
Three-body non-additive forces between spin-polarized alkali atoms
Three-body non-additive forces in systems of three spin-polarized alkali
atoms (Li, Na, K, Rb and Cs) are investigated using high-level ab initio
calculations. The non-additive forces are found to be large, especially near
the equilateral equilibrium geometries. For Li, they increase the three-atom
potential well depth by a factor of 4 and reduce the equilibrium interatomic
distance by 0.9 A. The non-additive forces originate principally from chemical
bonding arising from sp mixing effects.Comment: 4 pages, 3 figures (in 5 files
Recommended from our members
Implementing evidence-based recommended practices for the management of patients with mild traumatic brain injuries in Australian emergency care departments: study protocol for a cluster randomised controlled trial
Background: Mild head injuries commonly present to emergency departments. The challenges facing clinicians in emergency departments include identifying which patients have traumatic brain injury, and which patients can safely be sent home. Traumatic brain injuries may exist with subtle symptoms or signs, but can still lead to adverse outcomes. Despite the existence of several high quality clinical practice guidelines, internationally and in Australia, research shows inconsistent implementation of these recommendations. The aim of this trial is to test the effectiveness of a targeted, theory- and evidence-informed implementation intervention to increase the uptake of three key clinical recommendations regarding the emergency department management of adult patients (18 years of age or older) who present following mild head injuries (concussion), compared with passive dissemination of these recommendations. The primary objective is to establish whether the intervention is effective in increasing the percentage of patients for which appropriate post-traumatic amnesia screening is performed.
Methods/design: The design of this study is a cluster randomised trial. We aim to include 34 Australian 24-hour emergency departments, which will be randomised to an intervention or control group. Control group departments will receive a copy of the most recent Australian evidence-based clinical practice guideline on the acute management of patients with mild head injuries. The intervention group will receive an implementation intervention based on an analysis of influencing factors, which include local stakeholder meetings, identification of nursing and medical opinion leaders in each site, a train-the-trainer day and standardised education and interactive workshops delivered by the opinion leaders during a 3 month period of time. Clinical practice outcomes will be collected retrospectively from medical records by independent chart auditors over the 2 month period following intervention delivery (patient level outcomes). In consenting hospitals, eligible patients will be recruited for a follow-up telephone interview conducted by trained researchers. A cost-effectiveness analysis and process evaluation using mixed-methods will be conducted. Sample size calculations are based on including 30 patients on average per department. Outcome assessors will be blinded to group allocation
Origins of the Ambient Solar Wind: Implications for Space Weather
The Sun's outer atmosphere is heated to temperatures of millions of degrees,
and solar plasma flows out into interplanetary space at supersonic speeds. This
paper reviews our current understanding of these interrelated problems: coronal
heating and the acceleration of the ambient solar wind. We also discuss where
the community stands in its ability to forecast how variations in the solar
wind (i.e., fast and slow wind streams) impact the Earth. Although the last few
decades have seen significant progress in observations and modeling, we still
do not have a complete understanding of the relevant physical processes, nor do
we have a quantitatively precise census of which coronal structures contribute
to specific types of solar wind. Fast streams are known to be connected to the
central regions of large coronal holes. Slow streams, however, appear to come
from a wide range of sources, including streamers, pseudostreamers, coronal
loops, active regions, and coronal hole boundaries. Complicating our
understanding even more is the fact that processes such as turbulence,
stream-stream interactions, and Coulomb collisions can make it difficult to
unambiguously map a parcel measured at 1 AU back down to its coronal source. We
also review recent progress -- in theoretical modeling, observational data
analysis, and forecasting techniques that sit at the interface between data and
theory -- that gives us hope that the above problems are indeed solvable.Comment: Accepted for publication in Space Science Reviews. Special issue
connected with a 2016 ISSI workshop on "The Scientific Foundations of Space
Weather." 44 pages, 9 figure
An Observational Overview of Solar Flares
We present an overview of solar flares and associated phenomena, drawing upon
a wide range of observational data primarily from the RHESSI era. Following an
introductory discussion and overview of the status of observational
capabilities, the article is split into topical sections which deal with
different areas of flare phenomena (footpoints and ribbons, coronal sources,
relationship to coronal mass ejections) and their interconnections. We also
discuss flare soft X-ray spectroscopy and the energetics of the process. The
emphasis is to describe the observations from multiple points of view, while
bearing in mind the models that link them to each other and to theory. The
present theoretical and observational understanding of solar flares is far from
complete, so we conclude with a brief discussion of models, and a list of
missing but important observations.Comment: This is an article for a monograph on the physics of solar flares,
inspired by RHESSI observations. The individual articles are to appear in
Space Science Reviews (2011
Prevalence of Frailty in European Emergency Departments (FEED): an international flash mob study
Introduction
Current emergency care systems are not optimized to respond to multiple and complex problems associated with frailty. Services may require reconfiguration to effectively deliver comprehensive frailty care, yet its prevalence and variation are poorly understood. This study primarily determined the prevalence of frailty among older people attending emergency care.
Methods
This cross-sectional study used a flash mob approach to collect observational European emergency care data over a 24-h period (04 July 2023). Sites were identified through the European Task Force for Geriatric Emergency Medicine collaboration and social media. Data were collected for all individuals aged 65 + who attended emergency care, and for all adults aged 18 + at a subset of sites. Variables included demographics, Clinical Frailty Scale (CFS), vital signs, and disposition. European and national frailty prevalence was determined with proportions with each CFS level and with dichotomized CFS 5 + (mild or more severe frailty).
Results
Sixty-two sites in fourteen European countries recruited five thousand seven hundred eighty-five individuals. 40% of 3479 older people had at least mild frailty, with countries ranging from 26 to 51%. They had median age 77 (IQR, 13) years and 53% were female. Across 22 sites observing all adult attenders, older people living with frailty comprised 14%.
Conclusion
40% of older people using European emergency care had CFS 5 + . Frailty prevalence varied widely among European care systems. These differences likely reflected entrance selection and provide windows of opportunity for system configuration and workforce planning
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