Structured Abstract:Purpose This paper describes the conduct and outcomes of an Integrated Assessment of the vulnerability to climate change of government service provision at regional scale in New South Wales, Australia .The assessment was co-designed with regional public sector managers to address their needs for an improved understanding of regional vulnerabilities to climate change and variability. Design/methodology/approachThe study employed Integrated Assessment of climate change impacts through a complex adaptive systems approach incorporating social learning and stakeholder-led research processes. Workshops were conducted with stakeholders from NSW government agencies, State-owned corporations and local governments representing the tourism, water, primary industries, human settlements, emergency management, human health, infrastructure, and natural landscapes sectors. Participants used regional socioeconomic profiling and climate projections to consider the impacts on and the need to adapt community service provision to future climate. FindingsMany sectors are currently experiencing difficulty coping with changes in regional demographics and structural adjustment in the economy. Climate change will result in further impacts on already vulnerable systems in the forms of resource conflicts between expanded human settlements, the infrastructure that supports them and the environment (particularly for water), increased energy costs and declining agricultural production and food security. Originality/value This paper describes the application of meta-analysis in climate change policy research and frames climate change as a problem of environmental pollution and an issue of development and social equity Keywords:Integrated assessment, climate change vulnerability and adaptation, regional service provision, public sector, Australia About the authorsDr Brent Jacobs is Research Director in the natural resources and ecosystems theme at the Institute for Sustainable Futures, The University of Technology, Sydney. He has worked as an academic in agricultural science at the University of Sydney and the University of the South Pacific. Brent has over a decade of experience as a Senior Project Manager with the NSW Government in natural resource and structural adjustment policy and programs.Christopher Lee is currently the Manager of Impacts and Adaptation in the NSW Office of Environment and Heritage and leads NSW policy development in Climate Change Adaptation.David O'Toole has over 10 years' of service with the NSW Government in environmental management and biodiversity conservation policy. For the past 3 years He worked as a Senior Policy Officer in the Impacts and Adaptation team of the NSW Office of Environment and Heritage, focussing on regional vulnerability assessments, and adaptation programs for the Emergency Management, Health and Infrastructure sectors.Katie Vines is a Senior Policy Officer in the Impacts and Adaptation team of the NSW Office of Environment and Heritage. Katie's work focuses on understandin...
Post-cannulation radial artery aneurysm-a rare complication The following case report describes an expanding aneurysmal dilatation of the radial artery which developed 17 days following cannulation. Possible causes of this complication are: abnormal state of the vessel wall, multiple attempts at cannulation, and haematoma or infection at cannutation site. Other major and minor sequelae following arterial cannulation are reviewed. Nous vous prdsentons an cas de dilatation andvrismale progressive de l'artdre radiale survenue 17 jours aprds t'insertion d'une canule art~rielle. L' athdroscldrose de la paroi vaseulaire, les multiples lentatives d'insertion de ms qu'un hEmatome et une infection au site de la canule peuvent avoir joud un role dans ta gendse du probtdme. Nous passons aussi en revue les autres complications des canules artdrielles. Percutaneous radial artery catheterisation for blood gas monitoring and continuous arterial pressure recording is frequently used in the management of critically ill patients. Radial artery aneurysm is a rare complication of arterial cannulation. One previous case has been documented following cannulation, l This report describes an expanding aneurysmal dilatation of the radial artery following cannulation. Case report A 78-yr-cld farmer was admitted to the Intensive Care Unit with a presumptive diagnosis of tetanus. Past medical history revealed osteoarthritis of the hips and spine. The patient was not taking medications before
Plasma lidocaine concentrations, latency of onset, and duration of anaesthesia, were determined after interscalene brachial plexus block in 16 patients presenting for elective upper limb surgery. Eight patients had normal renal function and eight had chronic renal failure, as determined by creatinine clearance. Significantly higher plasma lidocaine levels were recorded ten minutes after infiltration in patients with chronic renal failure (p less than 0.05). Cmax plasma levels for normal patients (5.6 +/- 1.1 micrograms.ml-1) and for patients with chronic renal failure (6.6 +/- 1.6 micrograms.ml-1) were not significantly different. The latency of onset and duration of anaesthesia were similar in both groups. One per cent lidocaine solution may be administered to patients with normal and impaired renal function to provide effective brachial plexus blockade for short surgical procedures.
The capacity of blood pressure cuffs to act as vehicles of hospital infection has been recognised. We describe the microbial flora of in-use DINAMAP blood pressure cuffs used in the operating theatres and one recovery room in a teaching hospital. Our results show significant microbial contamination of in-use blood pressure cuffs.
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