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Paludification is the most common process of peatland formation in boreal regions. In this study, we investigated the autogenic (e.g., topography) and allogenic (fire and climate) factors triggering paludification in different geomorphological contexts (glaciolacustrine silty-clayey and fluvioglacial deposits) within the Québec black spruce (Picea mariana)–moss boreal forest. Paleoecological analyses were conducted along three toposequences varying from a forest on mineral soil to forested and semi-open peatlands. Plant macrofossil and charcoal analyses were performed on basal peat sections (≤50 cm) and thick forest humus (<40 cm) to reconstruct local vegetation dynamics and fire history involved in the paludification process. Results show that primary paludification started in small topographic depressions after land emergence ca. 8000 cal yr BP within rich fens. Lateral peatland expansion and secondary paludification into adjacent forests occurred between ca. 5100 and 2300 cal yr BP and resulted from low-severity fires during a climatic deterioration. Fires that reduced or eliminated entirely the organic layer promoted the establishment of Sphagnum in microdepressions. Paludification resulted in the decline of some coniferous species such as Abies balsamea and Pinus banksiana. The paleoecological approach along toposequences allowed us to understand the spatiotemporal dynamics of paludification and its impacts on the vegetation dynamics over the Holocene.
The benefit of mandibular advancement devices in patients with sleep-disordered breathing and as a potential option for obstructive sleep apnoea syndrome is well recognised. Their use in the setting of epilepsy or other seizure disorders is typically contraindicated.
A 48-year-old patient with a history of poorly controlled epilepsy and obstructive sleep apnoea syndrome was referred for ENT review for possible tracheostomy. The patient was wheelchair-bound with 24-hour continuous positive airway pressure, but sleep studies demonstrated persistent, severe episodes of apnoea and notable sleep disturbance. Sleep nasendoscopy demonstrated marked improvement on capnography with the laryngeal mask airway in situ, and this was maintained with mandibular advancement using jaw thrust following removal of the laryngeal mask airway. A mandibular advancement device was subsequently trialled; this had no subjective benefit for the patient, but the seizures resolved and control of apnoea was achieved with the combination of a mandibular advancement device and continuous positive airway pressure.
This paper highlights a novel application of mandibular advancement devices, used in combination with continuous positive airway pressure, which resulted in complete resolution of sleep deprivation and apnoea-induced epileptic events.
To analyse publication and citations trends of case reports within otolaryngology – head and neck surgery literature, with specific attention to the most-cited reports.
Web of Science was searched for article type ‘case reports’ published in the leading otolaryngology – head and neck surgery journals since 1945. Variables including publication dates, citation dates and numbers, author, author number, and others were recorded and analysed for trends. The reports with the most citations (classics) were further studied.
Of nearly 67 000 published articles in leading otolaryngology – head and neck surgery journals, the overall number of case reports as a percentage of the total has substantially decreased over time. A total of 110 case report classics were identified for which citations have increased.
Although the case report may not be worthy of its tarnished record, declining trends in publication suggest a limited future for this valuable research and educational resource.
Homelessness causes huge distress to a vulnerable population and great concern to wider society. The aim of this study was to reflect the prevalence of mental disorder within a subset of the homeless population in Dublin.
Long-term rough sleepers in Dublin were identified by the relevant non-statutory agency (Dublin Simon Community’s Rough Sleepers Team). The authors attempted to assess all the identified individuals employing traditional clinical methods.
We managed to assess 16 of the 22 identified individuals. We detected no formal disorder in ~30%, severe mental illness in ~30% and either alcohol or substance misuse in another ~30%. We detected dual diagnosis (co-occurrence of severe mental illness and alcohol or substance misuse) in 10%.
Most but not all long-term rough sleepers in Dublin had a formal mental disorder identified. Just under one-third had a severe mental illness. This suggests that individualised patient centred health and social care will be required on a case by case basis in the long-term rough sleeping population.
To explore the link between nasal polyposis, refractory otitis media with effusion and eosinophilic granulomatosis with polyangiitis.
A retrospective observational study was carried out of patients diagnosed with refractory otitis media with effusion necessitating grommet insertion and who had nasal polyps. Patients were evaluated to determine if they fulfilled the diagnostic criteria of eosinophilic granulomatosis with polyangiitis.
Sixteen patients (10 males and 6 females) were identified. The mean age of grommet insertion was 45.4 years. The mean number of grommets inserted per patient was 1.6. The mean number of nasal polypectomies was 1.7. All 16 patients had paranasal sinus abnormalities and otitis media with effusion, 14 had asthma, 9 had serological eosinophilia and 7 had extravascular eosinophilia. Nine patients met the diagnostic criteria for eosinophilic granulomatosis with polyangiitis.
The co-presence of nasal polyps and resistant otitis media with effusion should raise the possibility of eosinophilic granulomatosis with polyangiitis.
It is unclear which of four popular contemporary diet patterns is best for weight maintenance among postmenopausal women. Four dietary patterns were characterised among postmenopausal women aged 49–81 years (mean 63·6 (sd 7·4) years) from the Women’s Health Initiative Observational Study: (1) a low-fat diet; (2) a reduced-carbohydrate diet; (3) a Mediterranean-style (Med) diet; and (4) a diet consistent with the US Department of Agriculture’s Dietary Guidelines for Americans (DGA). Discrete-time hazards models were used to compare the risk of weight gain (≥10 %) among high adherers of each diet pattern. In adjusted models, the reduced-carbohydrate diet was inversely related to weight gain (OR 0·71; 95 % CI 0·66, 0·76), whereas the low-fat (OR 1·43; 95 % CI 1·33, 1·54) and DGA (OR 1·24; 95 % CI 1·15, 1·33) diets were associated with increased risk of weight gain. By baseline weight status, the reduced-carbohydrate diet was inversely related to weight gain among women who were normal weight (OR 0·72; 95 % CI 0·63, 0·81), overweight (OR 0·67; 95 % CI 0·59, 0·76) or obese class I (OR 0·63; 95 % CI 0·53, 0·76) at baseline. The low-fat diet was associated with increased risk of weight gain in women who were normal weight (OR 1·28; 95 % CI 1·13, 1·46), overweight (OR 1·60; 95 % CI 1·40, 1·83), obese class I (OR 1·73; 95 % CI 1·43, 2·09) or obese class II (OR 1·44; 95 % CI 1·08, 1·92) at baseline. These findings suggest that a low-fat diet may promote weight gain, whereas a reduced-carbohydrate diet may decrease risk of postmenopausal weight gain.
A Skylark rocket (SL727) carrying an X-ray astronomy experiment prepared by the University of Adelaide and Tasmania (UAT) was launched from Woomera at 0030 UT on July 10, 1970. The Large Magellanic Cloud (LMC) was detected during the flight, and the recent observation of structure within the Cloud is confirmed. In particular, the data support the suggestion of X-ray emission from the 30 Doradus (Tarantula) Nebula.
This paper presents results from a series of rocket flights which have yielded the first unambiguous evidence for the variability of a cosmic X-ray source. The evidence rests primarily on three flights, the first two of which were conducted from Woomera by a joint Universities of Adelaide and Tasmania (UAT) team, and the third from Hawaii by the Lawrence Radiation Laboratories (LRL) of California. Data from two additional flights, one by LRL and the other by the University of Leicester, support this evidence.
Although transient decreases in cosmic ray intensity of the type first reported by Forbush (1937) have been observed and studied for more than 40 years using a variety of detectors at many locations, from medium depths underground to those on spacecraft far from Earth, the precise nature of the physical process causing these events is not yet clear (see, for example, McKibben 1981).
The ground level event (GLE) observed on November 22, 1977, is of interest because of the spread of onset times observed by various cosmic ray neutron monitors. Previous reports (Fenton, Fenton and Humble 1978, 1979) have discussed this matter without being able to reach definite conclusions. We have now obtained data from a further seven neutron monitors, and also some from the Imp 8 spacecraft. These data combine to suggest that the event may have been more complex than we initially supposed.
A broad-band (2-190 keV) Australian X-ray satellite could provide a spectral sensitivity substantially better than HEAO-1 or any presently approved spacecraft. It would be virtually unique by providing simultaneously data over a wide energy range with high sensitivity and energy resolution in the little measured region above 30 keV. These measurements are vital to our understanding of such diverse topics as the cyclotron line production mechanism in binary sources, the structure of the magnetosphere of neutron stars, the origin of the diffuse cosmic X-ray background and the nature of the giant power sources in active galaxies and stellar black holes. Details of the proposed spacecraft and scientific objectives are given.
The Universities of Adelaide and Tasmania (UAT) have now collaborated in the preparation of four experiments on British Skylark rockets. Two independent X-ray detectors of total sensitive area 40 cm2 were flown on each of two rocket flights launched in April, 1967. The most significant result of these measurements was the discovery of Cen XR-2 and the measurement of the variation in its intensity and spectrum. The third flight, launched in December 1967, carried three X-ray detectors of total area 140 cm2. One of the main results from this flight, evidence for a new X-ray source at high galactic latitude, will be presented in the following paper.
Most of the recent advances in X-ray astronomy have resulted from satellite observations in the low energy (< 20 keV) range. The Einstein X-ray Observatory in particular has been responsible for a dramatic increase in our knowledge of the X-ray sky, in that all major classes of astronomical objects have been detected.
The University of Tasmania balloon-borne large area X-ray telescope was flown from Alice Springs on 20 November 1978. A number of known X-ray sources were observed and a transient increase believed to be a gamma ray burst was detected.
The binary X-ray source GX 1 + 4 was observed during a balloon flight in 1986, November. The source was in a relatively high intensity state. Time analysis of the data shows that the pulsation period was 111.8 ± 1.0 s indicating that one or more episodes of spin-down occurred between 1980 and 1986. Folded pulse profiles are very broad with an indication of a notch at the peak. Evidence has been found for a correlation between hard X-ray intensity and phase of the proposed 304 day orbital period. The time averaged intensity since 1980 is an order of magnitude lower than during the 1970’s. A survey of the post 1980 data shows that several reversals of the period derivative have occurred. Spin-up at the rates typical of the 1970’s has been followed by a dramatic spin-down episode with dP/dt>2.4 × 10−7 s/s.
Solar flares for which protons of relativistic energies reach Earth are rare events compared with the number in which non-relativistic protons are produced. For instance, Shea and Smart (1978) have listed 139 proton events for the interval 1955-69 of which 17 were GLE’s (i.e. “ground level events” detected by the world network of cosmic ray neutron monitors). We have tentatively identified a further 11 GLE’s in the interval 1970-1977, of which 3 were in 1977 in the sunspot cycle which commenced about mid-1976 (cycle 21). Thus the average rate over the past two solar cycles has been a little over one per year.
The initial flight of the University of Tasmania balloon-borne X-ray telescope was made from Parkes on Dec. 2, 1976. During the flight, enhanced X-ray emission was observed from the directions of 3U0900-40 (Vela XR-1), GX301-2 and the Galactic Centre. In this paper we report on the performance of the payload during the 11 hour flight and describe the preliminary results thus far obtained.
Six solar proton events have been observed by ground level cosmic ray detectors so far during solar cycle 21, a little less than one per year. All of these have been much smaller than the giant events observed in solar cycle 19. As with many other aspects of solar activity, the reason for the differences from cycle to cycle remain unknown.