We have developed a coordinated approach towards the provision of healthcare for a group of families with diverse severe chronic medical conditions who frequently present to the ED. Through a comprehensive programme including the development of patient-care plans, care coordination and 24-hour mobile-phone access we were able to enhance families' capacities to manage their children's conditions in the community.

This paper describes a new vegetation classification for the Greater Maya Mountains of Belize, focusing primarily on the Chiquibul Forest Reserve. Extensive use is made of GIS, remote sensing, botanical collections and field visits to provide a macro-and meso-scale overview of the vegetation of this region. A total of 32 vegetation classes have been defined, both geographically and structurally, including 11 new classes. Where possible, classes have been compared with earlier classifications. A dominant scaling technique has been used to enable direct comparison between ground truthing data and a supervised Maximum Likelihood Classifier image-based vegetation classification. The merits of such classifications and the effect of scale are discussed.

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A novel, recombinant myxoma virus-rabbit haemorrhagic disease virus (RHDV) vaccine has been developed for the prevention of myxomatosis and rabbit haemorrhagic disease (RHD). A number of laboratory studies are described illustrating the safety and efficacy of the vaccine following subcutaneous administration in laboratory rabbits from four weeks of age onwards. In these studies, both vaccinated and unvaccinated control rabbits were challenged using pathogenic strains of RHD and myxoma viruses, and 100 per cent of the vaccinated rabbits were protected against both myxomatosis and RHD.

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