Adoption of sustainable farm management to improve tailwater quality - A plan for the Ord River irrigation area

The overall purpose of this plan is to provide a clear pathway to improve adoption of sustainable farming practices. The focus of the plan is to develop and encourage adoption of practices that minimise sediment, nutrient and chemical export from agricultural land within the Ord River Irrigation Area (ORIA) (Figure 1). The plan aims to build on the significant work done by growers, government agencies and community groups over the years to manage the off-site impacts of irrigated agriculture. A broad consultative approach was used to develop the plan. Workshops, meetings and oneon- one discussions were held with the local irrigation community and relevant stakeholders to gain insights into the current situation with regard to sustainable farm management in the ORIA. This information was collated and used to inform the development of this plan. In addition, feedback on the draft plan was sought from these people, and this has shaped the final product.https://researchlibrary.agric.wa.gov.au/bulletins/1172/thumbnail.jp

Lort and Young Rivers Catchment : catchment appraisal 2001

Using the Rapid Catchment Appraisal process, this report summarises current information for the Lort and Young Rivers Catchment, 75 kilometres west of Esperance in Western Australia. The Rapid Catchment Appraisal (RCA) process is one of the processes included in the strategy to tackle salinity and its management in Western Australia. The RCA process provides a \u27snap shot\u27 of information on the risk and impact to agricultural production and natural resources within regional geographic catchments

Natural resource management intermediaries as potential next-users

A wide range of individuals and organisations play a role in Natural Resource Management (NRM) in Western Australia currently. Many different service providers also Interact with farmers and land managers to assist or influence farm management decision making. This extensive network has the potential to be tapped by NRM projects to more efficiently influence on-ground practice change. Given the current environment of \u27information overload\u27 it is even more important to use these established networks effectively rather than to invent new ones. This document lists a selection of NRM-related intermediaries and the roles they play in the agricultural sector. Where available, further information is provided on the characteristics, strengths and weaknesses of these intermediaries in relation to NRM projects as potential next-users. Please note this is not necessarily a complete list, and also that there can be significant variation within these groupings. A list of the sources of information referred to in this document is also provided

Telephone triage for management of same-day consultation requests in general practice (the ESTEEM trial): A cluster-randomised controlled trial and cost-consequence analysis

Telephone triage is increasingly used to manage workload in primary care; however, supporting evidence for this approach is scarce. We aimed to assess the effectiveness and cost consequences of general practitioner-(GP)-led and nurse-led telephone triage compared with usual care for patients seeking same-day consultations in primary care

Mortality Among Adults With Cancer Undergoing Chemotherapy or Immunotherapy and Infected With COVID-19

Importance: Large cohorts of patients with active cancers and COVID-19 infection are needed to provide evidence of the association of recent cancer treatment and cancer type with COVID-19 mortality. // Objective: To evaluate whether systemic anticancer treatments (SACTs), tumor subtypes, patient demographic characteristics (age and sex), and comorbidities are associated with COVID-19 mortality. // Design, Setting, and Participants: The UK Coronavirus Cancer Monitoring Project (UKCCMP) is a prospective cohort study conducted at 69 UK cancer hospitals among adult patients (≥18 years) with an active cancer and a clinical diagnosis of COVID-19. Patients registered from March 18 to August 1, 2020, were included in this analysis. // Exposures: SACT, tumor subtype, patient demographic characteristics (eg, age, sex, body mass index, race and ethnicity, smoking history), and comorbidities were investigated. // Main Outcomes and Measures: The primary end point was all-cause mortality within the primary hospitalization. // Results: Overall, 2515 of 2786 patients registered during the study period were included; 1464 (58%) were men; and the median (IQR) age was 72 (62-80) years. The mortality rate was 38% (966 patients). The data suggest an association between higher mortality in patients with hematological malignant neoplasms irrespective of recent SACT, particularly in those with acute leukemias or myelodysplastic syndrome (OR, 2.16; 95% CI, 1.30-3.60) and myeloma or plasmacytoma (OR, 1.53; 95% CI, 1.04-2.26). Lung cancer was also significantly associated with higher COVID-19–related mortality (OR, 1.58; 95% CI, 1.11-2.25). No association between higher mortality and receiving chemotherapy in the 4 weeks before COVID-19 diagnosis was observed after correcting for the crucial confounders of age, sex, and comorbidities. An association between lower mortality and receiving immunotherapy in the 4 weeks before COVID-19 diagnosis was observed (immunotherapy vs no cancer therapy: OR, 0.52; 95% CI, 0.31-0.86). // Conclusions and Relevance: The findings of this study of patients with active cancer suggest that recent SACT is not associated with inferior outcomes from COVID-19 infection. This has relevance for the care of patients with cancer requiring treatment, particularly in countries experiencing an increase in COVID-19 case numbers. Important differences in outcomes among patients with hematological and lung cancers were observed

Screening of healthcare workers for SARS-CoV-2 highlights the role of asymptomatic carriage in COVID-19 transmission

Funder: Addenbrooke's Charitable Trust, Cambridge University Hospitals; FundRef: http://dx.doi.org/10.13039/501100002927Significant differences exist in the availability of healthcare worker (HCW) SARS-CoV-2 testing between countries, and existing programmes focus on screening symptomatic rather than asymptomatic staff. Over a 3 week period (April 2020), 1032 asymptomatic HCWs were screened for SARS-CoV-2 in a large UK teaching hospital. Symptomatic staff and symptomatic household contacts were additionally tested. Real-time RT-PCR was used to detect viral RNA from a throat+nose self-swab. 3% of HCWs in the asymptomatic screening group tested positive for SARS-CoV-2. 17/30 (57%) were truly asymptomatic/pauci-symptomatic. 12/30 (40%) had experienced symptoms compatible with coronavirus disease 2019 (COVID-19)>7 days prior to testing, most self-isolating, returning well. Clusters of HCW infection were discovered on two independent wards. Viral genome sequencing showed that the majority of HCWs had the dominant lineage B∙1. Our data demonstrates the utility of comprehensive screening of HCWs with minimal or no symptoms. This approach will be critical for protecting patients and hospital staff