Drought then wildfire reveals a compound disturbance in a resprouting forest.

The frequency and intensity of forest disturbances, such as drought and fire, are increasing globally, with an increased likelihood of multiple disturbance events occurring in short succession. Disturbances layered over one another may influence the likelihood or intensity of subsequent events (a linked disturbance) or impact response and recovery trajectories (a compound disturbance), with substantial implications for ecological spatiotemporal vulnerability. This study evaluates evidence for disturbance interactions of drought followed by wildfire in a resprouting eucalypt-dominated forest (the Northern Jarrah Forest) in southwestern Australia.

Development of a platform-based approach for the clinical production of HIV gp120 envelope glycoprotein vaccine candidates.

Preclinical development of vaccine candidates is an important link between the discovery and manufacture of vaccines for use in human clinical trials. Here, an exploratory clinical study utilizing multiple gp120 envelope proteins as vaccine antigens was pursued, which required a harmonized platform development approach for timely and efficient manufacture of the combined HIV vaccine product. Development of cell lines, processes, and analytical methods was initiated with a transmitted founder envelope protein (CH505TF), then applied to produce three subsequent gp120 Env (envelope) variants.

Migraine-like headaches associated with nickel allergy requiring removal of atrial septal defect closure device.

There is a deficit of literature regarding the association between nickel allergy-induced symptoms and implanted devices. This report describes a case of nickel allergy causing debilitating migraine-like symptoms, failing to resolve with medical therapy, requiring surgical removal of the device and repair of the defect.

The History of Neurosurgery at Houston Methodist Hospital.

The history of neurosurgery in Texas is linked with the development over the past century of the Houston Methodist Hospital (HMH) from a 30-bed hospital in downtown Houston to an academic medical center with 900 beds in the Texas Medical Center. Neurosurgery at HMH has developed to meet the needs of the Houston Metropolitan Area, which has grown from 130,000 people in 1919 to 7 million people today. Neurosurgery at HMH has had steady growth and stable leadership with Dr.

Drought can offset potential water use efficiency of forest ecosystems from rising atmospheric CO.

Increasing atmospheric CO is both leading to climate change and providing a potential fertilisation effect on plant growth. However, southern Australia has also experienced a significant decline in rainfall over the last 30 years, resulting in increased vegetative water stress. To better understand the dynamics and responses of Australian forest ecosystems to drought and elevated CO, the magnitude and trend in water use efficiency (WUE) of forests, and their response to drought and elevated CO from 1982 to 2014 were analysed, using the best available model estimates constrained by observed fluxes from simulations with fixed and time-varying CO.

Vegetation trends associated with urban development: The role of golf courses.

Globally, cities are growing rapidly in size and density and this has caused profound impacts on urban forest ecosystems. Urbanization requiring deforestation reduces ecosystem services that benefit both city dwellers and biodiversity. Understanding spatial and temporal patterns of vegetation changes associated with urbanization is thus a vital component of future sustainable urban development.

Adult and Paediatric Cardiac Intervention in Timor-Leste: Disease Burden, Demographics and Clinical Outcomes.

Background: The East Timor Hearts Fund (ETHF) is a charitable organisation of Australian cardiologists providing outreach screening in Timor-Leste. For patients requiring intervention, ETHF arranges logistics, procedures, and postoperative care. The aim of this project is to evaluate outcomes of patients requiring intervention.

Contribution of Binary Organic Layers to Soil Water Repellency: A Molecular Level Perspective.

Soil water repellency (SWR) is an extensively occurring phenomenon on natural and agricultural soils with a severe impact on soil water relations and thus crop yields and ecosystem productivity. It is caused by long chain amphiphilic compounds that originate from plant cuticular waxes. However, the severity of SWR varies with soil physical properties and the concentration of the compounds closely associated with producing hydrophobic coatings on soil surfaces.

"Liver or Let Die": Percutaneous PFO Closure Through Hepatic Vein Access.

A 73-year-old farmer presented with platypnoea-orthodeoxia syndrome (POS). A transoesophageal echocardiogram (TOE) disclosed a patent foramen ovale (PFO) with significant right-to-left shunt on assuming upright posture. An initial attempt at PFO closure through the femoral vein was abandoned due to a completely occluded inferior vena cava.

Carbon consequences of drought differ in forests that resprout.

Prolonged drought and intense heat-related events trigger sudden forest die-off events and have now been reported from all forested continents. Such die-offs are concerning given that drought and heatwave events are forecast to increase in severity and duration as climate change progresses. Quantifying consequences to carbon dynamics and storage from die-off events are critical for determining the current and future mitigation potential of forests.

Off- vs. On-Pump Coronary Artery Bypass Grafting Long-Term Survival is Driven by Incompleteness of Revascularisation.

Background: Off-pump coronary artery bypass grafting (CABG) negates the requirement for extracorporeal circulation used with the traditional on-pump approach. However, off-pump CABG is technically more challenging and may theoretically lead to less complete revascularisation. Recent data suggests a prognostic benefit for traditional on-pump CABG, but the mechanism for this remains unclear.

Natural forests exhibit higher carbon sequestration and lower water consumption than planted forests in China.

Large-scale planted forests (PF) have been given a higher priority in China for improving the environment and mitigating climate change relative to natural forests (NF). However, the ecological consequences of these PF on water resource security have been less considered in the national scale. Moreover, a critically needed comparison on key ecological effects between PF and NF under climate change has rarely been conducted.

The Establishment of the Victorian Cardiac Outcomes Registry (VCOR): Monitoring and Optimising Outcomes for Cardiac Patients in Victoria.

Background: The Victorian Cardiac Outcomes Registry (VCOR) was established in 2012 to ensure the safety and quality of cardiac based therapies across Victoria. As a clinical quality registry, VCOR monitors the performance of health services in both the public and private sectors, by measuring and reporting on trends in the quality of patient care over time, within individual hospitals, comparatively with other hospitals, and aggregated at the state level. The current paper describes the VCOR registry aims, methods, governance structure and progress to date.

A Practical Guide for Fractional Flow Reserve Guided Revascularisation.

The presence and extent of myocardial ischaemia is a major determinant of prognosis and benefit from revascularisation in patients with stable coronary artery disease. Fractional Flow Reserve (FFR) is accepted as the reference standard for invasive assessment of ischaemia. Its ability to detect lesion specific ischaemia makes it a useful test in a wide range of patient and lesion subsets, with FFR guided intervention improving clinical outcomes and reducing health care costs compared to assessment with coronary angiography alone.

Successful percutaneous closure of an extremely large secundum atrial septal defect during pregnancy.

Atrial septal defects (ASDs) are one of the most of the most common acyanotic congenital heart lesions. Awareness of potential clinical presentations and complications during pregnancy is essential for those managing these patients. We report successful percutaneous closure of an extremely large secundum ASD, using the largest available percutaneous ASD closure device in a 27-year-old pregnant female.

Superior Petrosal Vein Sacrifice During Microvascular Decompression: Perioperative Complication Rates and Comparison with Venous Preservation.

Objective: To investigate potential effect of sacrifice of the superior petrosal vein (SPV) on postoperative complications after microvascular decompression (MVD).

Methods: Retrospective review of 98 consecutive patients undergoing MVD of cranial nerve V was performed. Frequency of division of the SPV during surgery was recorded, and postoperative complications and imaging were recorded and analyzed.

Comparative Effectiveness of Routine Invasive Coronary Angiography for Managing Unstable Angina.

Background: Non-ST-segment elevation acute coronary syndromes include unstable angina and non-ST-segment elevation myocardial infarction. Most randomized controlled trials of routine versus selective invasive coronary angiography have high rates of crossover from control to intervention groups and do not include subgroup analysis for unstable angina. Consequently, no clear, specific recommendations exist regarding the use of angiography in unstable angina.

Documenting and harnessing the biological potential of molecules in Distributed Drug Discovery (D3) virtual catalogs.

Virtual molecular catalogs have limited utility if member compounds are (i) difficult to synthesize or (ii) unlikely to have biological activity. The Distributed Drug Discovery (D3) program addresses the synthesis challenge by providing scientists with a free virtual D3 catalog of 73,024 easy-to-synthesize N-acyl unnatural α-amino acids, their methyl esters, and primary amides. The remaining challenge is to document and exploit the bioactivity potential of these compounds.

Bioenergy production and sustainable development: science base for policymaking remains limited.

The possibility of using bioenergy as a climate change mitigation measure has sparked a discussion of whether and how bioenergy production contributes to sustainable development. We undertook a systematic review of the scientific literature to illuminate this relationship and found a limited scientific basis for policymaking. Our results indicate that knowledge on the sustainable development impacts of bioenergy production is concentrated in a few well-studied countries, focuses on environmental and economic impacts, and mostly relates to dedicated agricultural biomass plantations.

Ethnic differences in coronary plaque and epicardial fat volume quantified using computed tomography.

Epidemiological studies observed a higher prevalence of coronary atherosclerosis in South Asians when compared to Caucasians, but quantitative computed tomography differences in aggregate plaque volume (APV) and epicardial fat volume (EFV) between South Asians, Southeast or East Asians (SEEAs) and Caucasians remain unknown. We aimed to compare APV and EFV quantified on computed-tomographic-coronary-angiography (CTCA) between South Asian, SEEA and Caucasian populations residing in Australia. Age, gender and body-mass-index matched subjects from three ethnic groups who underwent clinically indicated 320-detector CTCA were retrospectively analysed.

Variation in coronary angiography rates in Australia: correlations with socio-demographic, health service and disease burden indices.

Background: Variation in the provision of coronary angiography is associated with health care inefficiency and inequity. We explored geographic, socio-economic, health service and disease indicators associated with variation in angiography rates across Australia.

Methods: Australian census and National Health Survey data were used to determine socio-economic, health workforce and service indicators.

Prevalence and outcomes of trans-radial access for percutaneous coronary intervention in contemporary practise.

Background: Trans-radial access for percutaneous coronary intervention (PCI) has been associated with lower vascular complication rates and improved outcomes. We assessed the current uptake of trans-radial PCI in Victoria, Australia, and evaluated if patients were selected according to baseline bleeding risk in contemporary clinical practise, and compared selected clinical outcomes.

Methods: PCI data of all patients between 1st January 2013 and 31st December 2014 were analysed using The Victorian Cardiac Outcomes Registry (VCOR).