Queanbeyan District Hospital

BackgroundChronic kidney disease (CKD) is increasing worldwide and early education to improve adherence to self-management is a key strategy to slow CKD progression. The use of the internet and mobile phone technologies (mHealth) to support patients is considered an effective tool in many other chronic disease populations. While a number of mHealth platforms for CKD exist, few studies have investigated if and how this population use technology to engage in self-management.MethodsUsing a cross-sectional design across five health districts in Queensland (Australia), a 38-item self-report survey was distributed to adults with CKD attending outpatient clinics or dialysis units to measure current use and type of engagement with mHealth, perceived barriers to use, and opportunities to support CKD self-management. Odds ratio (OR) were calculated to identify associations between demographic characteristic and mHealth use.ResultsOf the 708 participants surveyed, the majority had computer access (89.2%) and owned a mobile phone (83.5%). The most likely users of the internet were those aged ≤ 60 years (OR: 7.35, 95% confidence interval [CI]: 4.25–12.75, p < 0.001), employed (OR: 7.67, 95% CI: 2.58–22.78, p < 0.001), from non-indigenous background (OR: 6.98, 95% CI: 3.50–13.93, p < 0.001), or having completed higher levels of education (OR: 3.69, CI: 2.38–5.73, p < 0.001). Those using a mobile phone for complex communication were also younger (OR: 6.01, 95% CI: 3.55–10.19, p < 0.001), more educated (OR: 1.99, 95% CI: 1.29–3.18, p < 0.01), or from non-indigenous background (OR: 3.22, 95% CI: 1.58–6.55, p < 0.001). Overall, less than 25% were aware of websites to obtain information about renal healthcare. The mHealth technologies most preferred for communication with their renal healthcare teams were by telephone (56.5%), internet (50%), email (48.3%) and text messages (46%).ConclusionIn the CKD cohort, younger patients are more likely than older patients to use mHealth intensively and interactively although all patients’ technology literacy ought to be thoroughly assessed by renal teams before implementing in practice. Further research testing mHealth interventions to improve self-management in a range of patient cohorts is warranted.

Conceptions encompassing climate change are irreversible rise of atmospheric carbon dioxide (CO2) concentration, increased temperature, and changes in rainfall both in spatial- and temporal-scales worldwide. This will have a major impact on wheat production, particularly if crops are frequently exposed to a sequence, frequency, and intensity of specific weather events like high temperature during growth period. However, the process of wheat response to climate change is complex and compounded by interactions among atmospheric CO2 concentration, climate variables, soil, nutrition, and agronomic management. In this study, we use the Agricultural Production Systems sIMulator (APSIM)-wheat model, driven by statistically downscaled climate projections of 18 global circulation models (GCMs) under the 2007 Intergovernmental Panel on Climate Change (IPCC) Special Report on Emission Scenarios (SRES) A2 CO2 emission scenario to examine impact on future wheat yields across key wheat growing regions considering different soil types in New South Wales (NSW) of Australia. The response of wheat yield, yield components, and phenology vary across sites and soil types, but yield is closely related to plant available water capacity (PAWC). Results show a decreasing yield trend during the period of 2021–2040 compared to the baseline period of 1961–1990. Across different wheat-growing regions in NSW, grain yield difference in the future period (2021–2040) over the baseline (1961–1990) varies from +3.4 to −14.7 %, and in most sites, grain number is decreased, while grain size is increased in future climate. Reduction of wheat yield is mainly due to shorter growth duration, where average flowering and maturing time are advanced by an average of 11 and 12 days, respectively. In general, larger negative impacts of climate change are exhibited in those sites with higher PAWC. Current wheat cultivars with shorter growing season properties are viable in the future climate, but breading for early sowing wheat varieties with longer growing duration will be a desirable adaptation strategy for mitigating the impact of changing climate on wheat yield.

El trabajo presenta la contextualización y transcripción del pedido de información sobre la muerte del jesuita Gaspar Osorio de Valderrábano y sus compañeros, levantado por orden del Obispo del Tucumán Maldonado y Saavedra entre 1639-1640 en las ciudades de Salta y Jujuy. El mismo se encuentra anexado a un expediente sobre la muerte de los padres Roque González de Santa Cruz, Alonso Rodríguez y Juan del Castillo existente en el Archivo General de la Nación y constituye un documento inédito sobre las relaciones entabladas entre los misioneros de la Compañía de Jesús y algunos grupos indígenas —pelichocos, labradillos, palomos y chiriguanos— que circulaban por la confluencia de los ríos Perico y Siancas en la frontera jujeña en la primera mitad del siglo XVII. El informe, que reúne testimonios de indígenas reducidos de la encomienda de Marcos Cabello, constituye una fuente que contribuye al conocimiento de estos grupos, algunos prácticamente desconocidos por la historiografía de la región, las relaciones entabladas con los misioneros en instancias de fricción interétnica y las respuestas que estos grupos plantearon ante estas circunstancias en un espacio geoetnico variado.

Research Article| September 01, 2009 U-Pb geochronology of mid-Paleozoic plutonism in western New Zealand: Implications for S-type granite generation and growth of the east Gondwana margin A.J. Tulloch; A.J. Tulloch † 1GNS Science, Private Bag 1930, Dunedin 9054, New Zealand †E-mail: a.tulloch@gns.cri.nz Search for other works by this author on: GSW Google Scholar J. Ramezani; J. Ramezani 2Department of Earth, Atmospheric and Planetary Sciences, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA Search for other works by this author on: GSW Google Scholar D.L. Kimbrough; D.L. Kimbrough 3Department of Geological Sciences, San Diego State University, San Diego, California 92182, USA Search for other works by this author on: GSW Google Scholar K. Faure; K. Faure 4GNS Science, P.O. Box 30368, Lower Hutt 5040, New Zealand Search for other works by this author on: GSW Google Scholar A.H. Allibone A.H. Allibone 5Rodinian Pty Ltd., P.O. Box 1970, Queanbeyan, NSW 2620, Australia Search for other works by this author on: GSW Google Scholar GSA Bulletin (2009) 121 (9-10): 1236–1261. https://doi.org/10.1130/B26272.1 Article history received: 16 Jun 2007 rev-recd: 07 Aug 2008 accepted: 12 Aug 2008 first online: 02 Mar 2017 Cite View This Citation Add to Citation Manager Share Icon Share Facebook Twitter LinkedIn MailTo Tools Icon Tools Get Permissions Search Site Citation A.J. Tulloch, J. Ramezani, D.L. Kimbrough, K. Faure, A.H. Allibone; U-Pb geochronology of mid-Paleozoic plutonism in western New Zealand: Implications for S-type granite generation and growth of the east Gondwana margin. GSA Bulletin 2009;; 121 (9-10): 1236–1261. doi: https://doi.org/10.1130/B26272.1 Download citation file: Ris (Zotero) Refmanager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All ContentBy SocietyGSA Bulletin Search Advanced Search Abstract New U-Pb isotope-dilution–thermal ionization mass spectrometry (ID-TIMS) ages (371–305 Ma) for 30 granitic plutons along the New Zealand sector of the East Gondwanan active margin reveal a highly episodic emplacement history and crustal growth pattern. The Late Devonian–late Carboniferous ages also establish specific links with both the mostly older, Lachlan and the mostly younger, New England fold belts of eastern Australia. Dated plutons are representative of two S- and I-type suite pairs, the volumetrically predominant Karamea-Paringa (371–360 Ma) and minor Ridge-Tobin (355–342 Ma) pulses, as well as sporadic Foulwind Suite A-type granites (350–305 Ma). Emplacement of the bulk of the dominant ~3400 km2 Karamea Suite S-type granite-granodiorite plutons within a 2.1 Ma interval is explained by major and intimate intrusion of mantle-derived magma into largely metasedimentary crust during intra-arc extension of previously overthickened crust. Transient emplacement rates were thus of similar magnitude as some young ignimbrite flare-ups and an order of magnitude greater than long-term averages for Mesozoic-Cenozoic cordilleran batholiths of the western Americas. Extension likely was terminated abruptly by resumption of convergence, possibly associated with amalgamation of the Buller and Takaka terranes, between 368 and 355 Ma. Significant crustal growth occurred during generation of the two S-type suites, where mantle basalt contributed mass, and heat for rapid melting, during transient intra- or backarc extensional episodes. In contrast, the I-type suites were dominated by partial melting of meta-igneous crust, and they are relatively small in volume. The Karamea S-type suite shares striking similarities in terms of age, composition, and extensional tectonic setting with S-type granites of the Melbourne terrane of the Lachlan fold belt. Both regions may have formed in a backarc position with respect to the Late Devonian–early Carboniferous subduction zone in the New England fold belt. Foulwind Suite A-type magmatism in New Zealand overlaps in age with the widespread 320–285 Ma A- and I-type magmatism in the northern New England fold belt. The likely continuation of the New England subduction system must have subsequently been removed from outboard of the New Zealand region after 320–285 Ma magmatism, and prior to Triassic accretion of a Permian oceanic arc terrane to the New Zealand margin. You do not have access to this content, please speak to your institutional administrator if you feel you should have access.

The diversity of a degraded grassland community on the Chinese Inner Mongolia steppe dominated by Artemisia frigida (Asteraceae) subject to a range of grazing treatments (zero, and light, medium and heavy grazing) for 13 years was studied from July to August 2002. Under zero grazing, percentage total vegetation cover was significantly (P < 0.05) less than under light, medium, and heavy grazing. Although not dominant in any treatments, percentage cover of Carex duriuscula (Cyperaceae) was higher than other species in the zero, light, and medium grazed treatments. Its cover tended to decline as grazing intensity increased (P = 0.49). Aneurolepidium chinense (Poaceae) reasserted its dominant status in the zero grazed grassland; A. frigida remained dominant under light and medium grazing. Under heavy grazing, Potentilla acaulis (Rosaceae) was the dominant species and it provided the highest percentage cover. Zero and heavy grazing resulted in fewer (three‐four) species contributing most of the total cover (cf. six‐seven species for light and medium grazing). This was reflected by indices of diversity and evenness, which were highest for light and medium grazing. The Simpson Dominance Index was highest for the zero and heavily grazed treatments, indicating that at the extremes of the grazing spectrum, single species tended to exclude potential co‐dominants more effectively than at intermediate levels of grazing. Selective grazing was a key process. Grazing increased the proportion of unpalatable and grazing resistant species, and species that although palatable, were relatively inconspicuous. These findings are discussed in terms of their impact on the productivity and long sustainability of grazing. The need to develop a better understanding of underlying processes, and more sustainable forms of grazing management are highlighted.

In this, the last article in our series on caring for people with dementia in acute units, we depart from our accustomed format and offer an example of excellence in long-stay care. The author describes the philosophy and functioning of a CADE unit in Australia, which typifies what appropriate care of people with dementia is, and demonstrates how careful planning and thoughtful interventions can create an environment in which residents, family and staff can develop.