Legal profession reform in Queensland

Legal reforms in Queensland: Queensland's Legal Profession Act came into force on 1 July 2004 and is a step in reorganising and modernising the regulation of the profession - development of an Australia-wide move towards improving conditions for national legal practice - central vehicle for national legal practice is a recommended bill of Model Laws - aspects of Model Laws have not been adopted in the Act and are expected to be adopted in a third stage of reforms.

Multisite, quality-improvement collaboration to optimise cardiac care in Queensland public hospitals

Objective: To evaluate changes in quality of in-hospital care of patients with either acute coronary syndromes (ACS) or congestive heart failure (CHF) admitted to hospitals participating in a multisite quality improvement collaboration. Design: Before-and-after study of changes in quality indicators measured on representative patient samples between June 2001 and January 2003. Setting: Nine public hospitals in Queensland. Study populations: Consecutive or randomly selected patients admitted to study hospitals during the baseline period (June 2001 to January 2002; n = 807 for ACS, n = 357 for CHF) and post-intervention period (July 2002 to January 2003; n = 717 for ACS, n = 220 for CHF). Intervention: Provision of comparative baseline feedback at a facilitative workshop combined with hospital-specific quality-improvement interventions supported by on-site quality officers and a central program management group. Main outcome measure: Changes in process-of-care indicators between baseline and post-intervention periods. Results: Compared with baseline, more patients with ACS in the post-intervention period received therapeutic heparin regimens (84% v 72%; P < 0.001), angiotensin-converting enzyme inhibitors (64% v 56%; P = 0.02), lipid-lowering agents (72% v 62%; P < 0.001), early use of coronary angiography (52% v 39%; P < 0.001), in-hospital cardiac counselling (65% v 43%; P < 0.001), and referral to cardiac rehabilitation (15% v 5%; P < 0.001). The numbers of patients with CHF receiving β-blockers also increased (52% v 34%; P < 0.001), with fewer patients receiving deleterious agents (13% v 23%; P = 0.04). Same-cause 30-day readmission rate decreased from 7.2% to 2.4% (P = 0.02) in patients with CHF. Conclusion: Quality-improvement interventions conducted as multisite collaborations may improve in-hospital care of acute cardiac conditions within relatively short time frames.

Blooms of the cyanobacterium Lyngbya majuscula in coastal Queensland, Australia: disparate sites, common factors

During the last decade there has been a significant rise in observations of blooms of the toxic cyanobacterium, Lyngbya majuscula along the east coast of Queensland, Australia. Whether the increase in cyanobacterial abundance is a biological indicator of widespread water quality degradation or also a function of other environmental change is unknown. A bioassay approach was used to assesses the potential for runoff from various land uses to stimulate productivity of L. majuscula. In Moreton Bay, L. majuscula productivity was significantly (p < 0.05) stimulated by soil extracts, which were high in phosphorus, iron and organic carbon. Productivity of L. majuscula from the Great Barrier Reef was also significantly (p < 0.05) elevated by iron and phosphorus rich extracts, in this case seabird guano adjacent to the bloom site. Hence, it is possible that other L. majuscula blooms are a result of similar stimulating factors (iron, phosphorus and organic carbon), delivered through different mechanisms. (c) 2004 Elsevier Ltd. All rights reserved.

Gyracanthides hawkinsi sp nov (Acanthodii, Gyracanthidae) from the Lower Carboniferous of Queensland, Australia, with a review of gyracanthid taxa

A new species of Gyracanthides from the mid-Visean Ducabrook Formation of Middle Paddock site, near Springsure in the Drummond Basin, central Queensland, is based on isolated three-dimensionally preserved elements. The specimens comprise paired and unpaired spines and pectoral girdle elements, procoracoids and scapulocoracoids, and include growth series. The morphology, especially of the shoulder girdle bones and the form and tubercular ornamentation of the paired fin spines, is used to distinguish the new taxon. These characters also help differentiate the numerous described gyracanthid species. Aspects of palaeobiology including possible sexual dimorphism are explored. A hypothetical reconstruction of the fish is based on our interpretation of the articulation of isolated elements combined with examination of wear patterns on fin spines. Gyracanthides hawkinsi sp. nov. is compared with other Australian taxa as well as with gyracanthids from North America, Europe, Russia, Iran, Africa and Antarctica, some of which are tentatively reassigned here to the Gondwanan genus Gyracanthides.