The calcified seaweed (maerl) deposits of the Falkland Islands

Scattered across many foreshore areas around the Falkland Islands (Fig. 1) are fragments of white, limy material derived from carbonate-fixing, marine red algae. Locally, the limy detritus is sufficiently abundant to have built-up substantial beach deposits. In their report accompanying publication of the 1:250 000 scale geological maps of the islands, Aldiss and Edwards (1998) drew attention to the potential importance of these deposits as a source of agricultural lime, particularly in the absence of any other indigenous source of limestone. Very similar material has been exploited elsewhere in the world for both agricultural and horticultural use; for example, sub-tidal banks were extensively dredged in the English Channel off Cornwall and Brittanny. There, the limy, algal debris is referred to generically as Lithothamion, and commercially as maerl. The equivalent material in the Falkland Islands is known locally as calcified seaweed

Dental Attendances to General Medical Practitioners in Wales: a 44 Year Analysis

One-third of the UK population is composed of problem-oriented dental attenders, seeking dental care only when they have acute dental pain or problems. Patients seek urgent dental care from a range of health care professionals, including general medical practitioners. This study aimed to identify trends in dental attendance at Welsh medical practices over a 44-y period, specifically in relation to dental policy change and factors associated with repeat attendance. A retrospective observational study was completed via the nationwide Secure Anonymised Information Linkage (SAIL) Databank of visits to general medical practice in Wales. Read codes associated with dental diagnoses were extracted for patients attending their general medical practitioner between 1974 and 2017. Data were analyzed with descriptive statistics and univariate and multivariable logistic regression. Over the 44-y period, there were 439,361 dental Read codes, accounting for 288,147 patient attendances. The overall attendance rate was 2.60 attendances per 1,000 patient-years (95% CI, 2.59 to 2.61). The attendance rate was negligible through 1987 but increased sharply to 5.0 per 1,000 patient-years in 2006 (95% CI, 4.94 to 5.09) before almost halving to 2.6 per 1,000 in 2017 (95% CI, 2.53 to 2.63) to a pattern that coincided with changes to National Health Service policies. Overall 26,312 patients were repeat attenders and were associated with living in an area classified as urban and deprived (odds ratio [OR], 1.22; 95% CI, 1.19 to 1.25; P < 0.0001) or rural (OR, 0.84; 95% CI, 0.83 to 0.85; P < 0.0001). Repeat attendance was associated with greater odds of having received an antibiotic prescription (OR, 2.53; 95% CI, 2.50 to 2.56; P < 0.0001) but lower odds of having been referred to another service (OR, 0.75; 95% CI, 0.70 to 0.81; P < 0.0001). Welsh patients’ reliance on medical care for dental problems was influenced by social deprivation and health policy. This indicates that future interventions to discourage dental attendance at medical practitioners should be targeted at those in the most deprived urban areas or rural areas. In addition, health policy may influence attendance rates positively and negatively and should be considered in the future when decisions related to policy change are made

Climate Change in Queensland's Grazing Lands. I. Approaches and Climatic Trends

Climate change is an important global issue but is yet to be recognised as such by many rangelands users. This paper reviews some of the uncertainties relating to pre-instrumental and future climate change and documents current trends and fluctuations in climate of Queensland's grazing lands. Analysis of daily climate surfaces for Queensland's pastoral/cropping zone shows high variability in annual rainfall which is influenced by the El NiHo-Southern Oscillation (ENSO) phenomenon. This relationship, when examined using moving windows, has changed during this century with the 1930-40s being a period of low correlation. Minimum temperatures taken from the climate surfaces also changed, showing a significant (P<0.01) increase over time especially in May. Over the 40 years since 1957, annual minimum temperatures have increased by l.0°C for the pastoral/cropping zone and coastal sub-zone, winter minimum temperatures by 1.2°C for the pastoral/cropping zone (1.3°C for the coastal sub-zone), summer minimum temperatures by 0.7°C for the pastoral/cropping zone and coastal sub-zone, and May minimum temperatures by 2.8°C for the pastoral/cropping zone (3.0°C for the coastal sub-zone). Consistent significant trends in vapour pressure (increasing, P<0.001) and solar radiation (decreasing, P<0.05) also occurred in May. The mechanisms for the identified climate trends and unusual behaviour of ENS0 are the subject of speculation with attribution of causes to natural variability or the enhanced greenhouse effect being unresolved. Continued monitoring of these trends and fluctuations will be important for the future management of Queensland's grazing lands with this analysis highlighting the need for discrimination of trends from natural variability. In terms of grazing management and degradation processes, this work also highlights that general changes in climate averages may disguise important variation at yearly and decadal time scales

Comorbidities, exposure to medications, and the risk of community-acquired clostridium difficile infection: A systematic review and meta-analysis

Background. Clostridium difficile infection (CDI) has been extensively escribedin healthcare settings; however, risk factor sassociated with community-acquired (CA) CDI remain uncertain. This study aimed to synthesize the current evidence for an association between commonly prescribed medications and comorbidities with CA-CDI. methods. A systematic search was conducted in 5 electronic databases for epidemiologicstudi esthatexamined the associtation between the presence of comorbidities and exposure to medications with the risk of CA-CDI. Pooled odds ratios were estimated using 3 meta-analytic methods. Subgroup analyses by location of studies and by life stages were conducted. results. Twelve publications (n=56,776 patients) met inclusion criteria. Antimicrobial (odds ratio, 6.18; 95% CI, 3.80-10.04) and corticosteroid (1.81; 1.15-2.84) exposure were associated with increased risk of CA-CDI. Among the comorbidities, inflammatory bowel disease (odds ratio, 3.72; 95% CI, 1.52-9.12), renal failure (2.64; 1.23-5.68), hematologic cancer (1.75; 1.02-5.68), and diabetes mellitus (1.15; 1.05-1.27) were associated with CA-CDI. By location, antimicrobial exposure was associated with a higher risk of CA-CDI in the United States, whereas proton-pump inhibitor exposure was associated with a higher risk in Europe. By life stages, the risk of CA-CDI associated with antimicrobial exposure greatly increased in adults older than 65 years. conclusions. Antimicrobial exposure was the strongest risk factor associated with CA-CDI. Further studies are required to investigate the risk of CA-CDI associated with medications commonly prescribed in the community. Patients with diarrhea who have inflammatory bowel disease, renal failure, hematologic cancer, or diabetes are appropriate populations for interventional studies of screening

Capitals and commitment. The case of a local learning and employment network.

This article draws on research undertaken with a Local Learning and Employment Network (LLEN) in the state of Victoria, Australia. LLEN are networks that were implemented by the state government in 2001 to undertake community capacity building through which the outcomes of young people aged 15-19 in education, training and employment would be enhanced. In 2008, in the context of an enhanced federal commitment to social inclusion through ‘joining-up’, the Victorian experience provides insights on the implications of such policy initiatives. Drawing on Bourdieu’s discussion of the forms of capital and Granovetter’s notion of the strength of weak ties, I argue that stores of economic, cultural and social capital as outlined by Bourdieu were necessary, but insufficient, for LLEN to achieve the objectives with which they were charged given the failure of government to follow through on the implications of its policies. I argue for a commitment on the part of all stakeholders to realise the potential of ‘joining-up’

Dental Attendances to General Medical Practitioners in Wales: A 44 Year-Analysis

One-third of the UK population is composed of problem-oriented dental attenders, seeking dental care only when they have acute dental pain or problems. Patients seek urgent dental care from a range of health care professionals, including general medical practitioners. This study aimed to identify trends in dental attendance at Welsh medical practices over a 44-y period, specifically in relation to dental policy change and factors associated with repeat attendance. A retrospective observational study was completed via the nationwide Secure Anonymised Information Linkage (SAIL) Databank of visits to general medical practice in Wales. Read codes associated with dental diagnoses were extracted for patients attending their general medical practitioner between 1974 and 2017. Data were analyzed with descriptive statistics and univariate and multivariable logistic regression. Over the 44-y period, there were 439,361 dental Read codes, accounting for 288,147 patient attendances. The overall attendance rate was 2.60 attendances per 1,000 patient-years (95% CI, 2.59 to 2.61). The attendance rate was negligible through 1987 but increased sharply to 5.0 per 1,000 patient-years in 2006 (95% CI, 4.94 to 5.09) before almost halving to 2.6 per 1,000 in 2017 (95% CI, 2.53 to 2.63) to a pattern that coincided with changes to National Health Service policies. Overall 26,312 patients were repeat attenders and were associated with living in an area classified as urban and deprived (odds ratio [OR], 1.22; 95% CI, 1.19 to 1.25; P < 0.0001) or rural (OR, 0.84; 95% CI, 0.83 to 0.85; P < 0.0001). Repeat attendance was associated with greater odds of having received an antibiotic prescription (OR, 2.53; 95% CI, 2.50 to 2.56; P < 0.0001) but lower odds of having been referred to another service (OR, 0.75; 95% CI, 0.70 to 0.81; P < 0.0001). Welsh patients’ reliance on medical care for dental problems was influenced by social deprivation and health policy. This indicates that future interventions to discourage dental attendance at medical practitioners should be targeted at those in the most deprived urban areas or rural areas. In addition, health policy may influence attendance rates positively and negatively and should be considered in the future when decisions related to policy change are made

Practical observations of loss-of-mains nuisance tripping of fast acting energy storage

Fast acting battery energy storage systems are able to swing power very quickly between maximum import and maximum export in less than 50ms based on operational experience of a 2MW energy storage system. However, this can result in nuisance tripping of the unit through the operation of the loss-of-mains protection (LoM). This paper looks at data captured during power swings of up to 4MW during typical operation and discusses the potential for nuisance tripping, and suggests potential settings for improved operation

Effective Field Theory for Dilute Fermions with Pairing

Effective field theory (EFT) methods for a uniform system of fermions with short-range, natural interactions are extended to include pairing correlations, as part of a program to develop a systematic Kohn-Sham density functional theory (DFT) for medium and heavy nuclei. An effective action formalism for local composite operators leads to a free-energy functional that includes pairing by applying an inversion method order by order in the EFT expansion. A consistent renormalization scheme is demonstrated for the uniform system through next-to-leading order, which includes induced-interaction corrections to pairing.Comment: 31 pages, 10 figures, affiliation updated, paper unchange

Using power factor to limit the impact of energy storage on distribution network voltage

The introduction of embedded renewable generation and energy storage into the electricity grid may result in increased complexity to the Distribution Network Operator (DNO) in managing the voltage within statutory limits. This paper investigates how the voltage at the point of common coupling between the grid and an energy storage system could be adapted such that the charging and discharging of a battery energy storage system has a neutral impact on the voltage at that point. The paper uses measured results from the Willenhall Energy Storage System to show that a “seagull” shape curve of Power and corresponding Var setting could be used to mitigate against voltage rise or fall on the Network caused by the Energy Storage System