1,129 research outputs found

    Australian national residue survey – closing the loop on pesticide residue risk management for Australian grain

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    Australia exports a major proportion of its agricultural production and is highly dependent on maintaining and developing access to, and competitiveness in, export markets. To preserve Australia’s status as a provider of high quality grain, the majority of Australian primary producers rely on pesticides to protect their crops from pests and diseases, particularly in post-harvest situations. The Australian Pesticides and Veterinary Medicines Authority (APVMA) supports Australian agriculture by registering and allowing the supply of safe and effective animal health and crop protection products. A residue risk management continuum is established when the effectiveness of chemical registration and control of chemical use regulations is assessed through residue monitoring programs. Programs assess good agricultural practice and provide traceback capacity to investigate areas of concern. Risk communication provides opportunities for continuous improvement. In the early 1960s, the Australian Government established a non-regulatory body, the national residue survey (NRS). In 2008-2009, random monitoring programs were conducted for over 50 commodities (21 grains, five horticultural commodities, 11 fish species, 12 animal species, honey and egg with over 20,000 samples collected for analytical testing. The NRS grain residue monitoring program is presented as a case study of the residue risk management continuum demonstrating to overseas markets the high level of residue integrity of Australian grain. Over 4,000 grain samples are collected and analysed per annum. Most of the samples are collected in the bulk export program where samples are collected from every hatch of every ship loaded at the seventeen Australian grain export terminals. The chemical screens have expanded beyond the multi-residue screen (MRS) insecticides, fungicides and herbicides, to include phosphine, additional herbicides (not included in the MRS), heavy metals and mycotoxins. In its current form, the NRS grains program provides 15 years of residue testing data which demonstrates a very high degree of conformance with Australian MRLs and the import tolerances of overseas trading partners. In addition, trends in residue testing data demonstrate a decline in the frequency of residue detections and the levels of residue detected. To be confident that residue testing results meet the requisite standards, the reliability of the Australian analyses must be assured. The NRS laboratory performance evaluation system has been developed to provide that assurance, using a range of proficiency tests and other techniques in the selection of laboratories for NRS work. Residue testing results are reported against both Australian MRLs and the international MRLs which apply in the relevant export market. NRS maintains databases of overseas MRLs and compares its residue testing results of exported commodities against those standards. Grain marketers receive certificates of analysis, in the form of NRS residue testing results, for each shipment prior to arrival at the overseas market.Keywords: Grain, Pesticide, residue, monitoring program, residue risk managemen

    Coastal oceanography and sedimentology in New Zealand, 1967-91.

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    This paper reviews research that has taken place on physical oceanography and sedimentology on New Zealand's estuaries and the inner shelf since c. 1967. It includes estuarine sedimentation, tidal inlets, beach morphodynamics, nearshore and inner shelf sedimentation, tides and coastal currents, numerical modelling, short-period waves, tsunamis, and storm surges. An extensive reference list covering both published and unpublished material is included. Formal teaching and research programmes dealing with coastal landforms and the processes that shape them were only introduced to New Zealand universities in 1964; the history of the New Zealand Journal of Marine and Freshwater Research parallels and chronicles the development of physical coastal science in New Zealand, most of which has been accomplished in last 25 years

    Multiple Myeloma: A Review of Imaging Features and Radiological Techniques

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    The recently updated Durie/Salmon PLUS staging system published in 2006 highlights the many advances that have been made in the imaging of multiple myeloma, a common malignancy of plasma cells. In this article, we shall focus primarily on the more sensitive and specific whole-body imaging techniques, including whole-body computed tomography, whole-body magnetic resonance imaging, and positron emission computed tomography. We shall also discuss new and emerging imaging techniques and future developments in the radiological assessment of multiple myeloma

    Effectiveness of appropriately trained nurses in preoperative assessment: randomised controlled equivalence/non-inferiority trial

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    Objective To determine whether preoperative assessments carried out by appropriately trained nurses are inferior in quality to those carried out by preregistration house officers. Design Randomised controlled equivalence/non-inferiority trial. Setting Four NHS hospitals in three trusts. Three of the four were teaching hospitals. Participants All patients attending for assessment before general anaesthesia for general, vascular, urological, or breast surgery between April 1998 and March 1999. Intervention Assessment by one of three appropriately trained nurses or by one of several preregistration house officers. Main outcome measures History taken, physical examination, and investigations ordered. Measures evaluated by a specialist registrar in anaesthetics and placed in four categories: correct, overassessment, underassessment not affecting management, and underassessment possibly affecting management (primary outcome). Results 1907 patients were randomised, and 1874 completed the study; 926 were assessed by house officers and 948 by nurses. Overall 121/948 (13%) assessments carried out by nurses were judged to have possibly affected management compared with 138/926 (15%) of those performed by house officers. Nurses were judged to be non-inferior to house officers in assessment, although there was variation among them in terms of the quality of history taking. The house officers ordered considerably more unnecessary tests than the nurses (218/926 (24%) v 129/948 (14%). Conclusions There is no reason to inhibit the development of nurse led preoperative assessment provided that the nurses involved receive adequate training. However, house officers will continue to require experience in preoperative assessment

    Extended scope of nursing practice: a multicentre randomised controlled trial of appropriately trained nurses and pre-registration house officers in pre-operative assessment in elective general surgery

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    Aim/ Principal Research Question:1) To determine whether pre-operative assessment carried out by an appropriately trained nurse (ATN) is equivalent in quality to that carried out by a pre-registration house officer (PRHO).2) To assess whether pre-assessments carried out by ATNs and PRHOs are equivalent in terms of cost.3) To determine whether assessments carried out by ATNs are acceptable to patients.4) To investigate the quality of communication between senior medical staff and ATNs.Factors of Interest:The extended role of appropriately trained nurses and pre-registration house officers in pre-operative assessment in elective general surgery.Methods:The study design was principally a prospective randomised equivalence trial but was accompanied by additional qualitative assessment of patient and staff perceptions, and an economic evaluation.The intervention consisted of a pre-operative assessment carried out by either an ATN or a PRHO. Of the patients who completed the study with a full evaluation, 926 patients were randomised to the PRHO arm of the trial and 948 to the ATN arm. Three ATNs took part in the study, one from each centre, together with a total of 87 PRHOs.Immediately following the initial assessment of a patient by a PRHO or an ATN, one of a number of clinical research fellows, all specialist registrars in anaesthetics, repeated the assessment and recorded it on a study form, together with a list of investigations required. The clinical research fellow then evaluated the competency of the initial assessor by comparing the quality of their assessment with their own. Any deficiencies in ordering of investigations and referral to other specialities were met in order to maximise patient care.Sample groups:All patients attending at one site for assessment prior to general anaesthetic for elective general, vascular, urological or breast surgery were potentially included in the study. Of 1907 patients who were randomised, 1874 completed the study with a full evaluation.The study was carried out at four NHS hospitals, three of which were teaching hospitals, in three NHS Trusts in Southampton, Sheffield and Doncaster.Outcome measures:Three areas of ATN and PRHO performance were judged separately, history taking, examination and ordering of tests, and each was graded into one of four categories, the most important of which was under-assessment, which would possibly have affected peri-operative management. In the case of ordering of tests, it was possible to have both over- and under-assessed a patient on different tests.Findings:The pre-operative assessments carried out by the ATNs were essentially equivalent to those performed by the PRHOs in terms of under-assessment that might possibly have affected peri-operative management, although there was variation between the ATNs in terms of the quality of history taking. This may be related to the low number of patients seen at one study site.PRHOs ordered significantly more unnecessary tests than the ATNs. The substitution of ATNs for PRHOs was calculated to be cost neutral.The results of the qualitative assessment showed that the use of ATNs for pre-operative assessment was acceptable to patients; however, there was no evidence that communication between senior medical staff and those carrying out pre-operative assessments was improved by their introduction.Conclusions:This study demonstrated no reason to inhibit the development of fully nurse-led pre-operative assessment, provided that the nurses are appropriately trained and maintain sufficient workload to retain skills.Implications for Further Research:Further research is needed in the following areas:1) the extent and type of training needed for nurses undertaking the pre-operative assessment role2) the use, costs and benefits of routine pre-operative testing.<br/
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