Game theory applications in natural resource management : review of evidence, problems and potential

Game theory is a rapidly advancing approach to structure and understand complex management problems in the natural resources sector in both the developed and developing countries. Many natural resource problems are complex due to common property and public goods characteristics. Despite these limitations many researchers have used game theory to analyze water shed management, irrigation water management, grazing land management, and managing other ecological resources. The prisoner’s dilemma game has been widely used. The work of Runge shows that collective action is feasible if a critical mass of people can cooperate. The use of game theory is hindered by lack of information, paucity of empirical applications and the lack of interest by policy makers who wish quick answers to critical policy issues. The potential still remains high for game theory to be productively used both in developing and developed countries.

Nursing administration of medication via enteral tubes in adults : a systematic review

Background Enteral tubes are frequently inserted as part of medical treatment in a wide range of patient situations. Patients with an enteral tube are cared for by nurses in a variety of settings, including general and specialised acute care areas, aged care facilities and at home. Regardless of the setting, nurses have the primary responsibility for administering medication through enteral tubes. Medication administration via an enteral tube is a reasonably common nursing intervention that entails a number of skills, including preparing the medication, verifying the tube position, flushing the tube and assessing for potential complications. If medications are not given effectively through an enteral tube, harmful consequences may result leading to increased morbidity, for example, tube occlusion, diarrhoea and aspiration pneumonia. There are resultant costs for the health-care system related to possible increased length of stay and increased use of equipment. Presently what is considered to be best practice to give medications through enteral tubes is unknown.

Objectives The objective of this systematic review was to determine the best available evidence on which nursing interventions are effective in minimising the complications associated with the administration of medications via enteral tubes in adults. Nursing interventions and considerations related to medication administration included form of medication, verifying tube placement before administration, methods used to give medication, methods used to flush tubes, maintenance of tube patency and specific practices to prevent possible complications related to the administration of enteral medications.

Search strategy The following databases were searched for literature reported in English only: CINAHL, MEDLINE, The Cochrane Library, Current Contents/All Editions, EMBASE, Australasian Medical Index and PsychINFO. There was no date restriction applied. In addition, the reference lists of all included studies were scrutinised for other potentially relevant studies.

Selection criteria Systematic reviews of randomised controlled trials (RCTs) and RCTs that compared the effectiveness of nursing interventions and considerations used in the administration of medications via enteral tubes. Other research methods, such as non-randomised controlled trials, longitudinal studies, cohort and case control studies, were also included. Exclusion criteria included studies investigating drug–nutrient interactions or the bioavailability of specific medications.

Data collection and analysis Initial consideration of potential relevance to the review was carried out by the primary author (NP). Two reviewers independently assessed study eligibility for inclusion. A meta-analysis could not be undertaken, as there were no comparable RCTs identified. All data were presented in a narrative summary.

Results There is very limited evidence regarding the effectiveness of nursing interventions in minimising the complications associated with enteral tube medication administration in adults. The review highlights a lack of high quality research on many important nursing issues relating to enteral medication administration. There is huge scope for further research. Some of the evidence that was identified included that nurses should consider the use of liquid form medications as there may be fewer tube occlusions than with solid forms in nasoenteral tubes and silicone percutaneous endoscopic gastronomy tubes. Nurses may need to consider the sorbitol content of some liquid medications, for example, elixirs, as diarrhoea has been attributed to the sorbitol content of the elixir, not the drug itself. In addition, the use of 30 mL of water for irrigation when administering medications or flushing small-diameter nasoenteral tubes may reduce the number of tube occlusions.

A systematic review of nursing administration of medication via enteral tubes in adults

Aim. This systematic review aimed to determine the best available evidence regarding the effectiveness of nursing interventions in minimising the complications associated with administering medication via enteral tubes in adults.
Background. Giving enteral medication is a fairly common nursing intervention entailing several skills: verifying tube position, preparing medication, flushing the tube and assessing for potential complications. If not carried out effectively harmful consequences may result leading to increased morbidity and even mortality. Until now, what was considered to be best practice in this area was unknown.
Design. Systematic review.
Methods. CINAHL, MEDLINE, The Cochrane Library, Current Contents/All Editions, EMBASE, Australasian Medical Index and PsychINFO databases were searched up to September 2005. Reference lists of included studies were appraised. Two reviewers independently assessed study eligibility for inclusion. There were no comparable randomised-controlled trials; data
were presented in a narrative summary.
Results. Identified evidence included using 30 ml of water for irrigation when giving medication or flushing small-diameter nasoenteral tubes may reduce tube occlusion. Using liquid medication should be considered as there may be less tube occlusions than with solid forms in nasoenteral tubes and silicone percutaneous endoscopic gastrostomy tubes. In addition, nurses may need to consider the sorbitol content of some liquid medications, for example elixirs, as diarrhoea has been attributed to the sorbitol content of the elixir, not the drug itself.
Conclusion. The evidence was limited. There was a lack of high-quality research on many important issues relating to giving enteral medication.
Relevance to clinical practice. Nurses have the primary responsibility for giving medication through enteral tubes and need knowledge of the best available evidence. Some of the nursing considerations and interventions relating to this skill have been researched in the clinical area and have implications for practice. There is a need for further studies to strengthen these findings.

Managing sport in drought-new stakeholders and new governance issues : a case study

Globally, almost every nation is facing some form of water crisis (World Commission on Water 2000). In Australia, the sport and recreation industry is one of the highest consumers of water. Other high water consuming industries (such as agriculture and farming) have been forced to adhere to strict managerial and governance reform due to the water crisis, yet in the sport and recreation industry, such changes are yet to be implemented and fully realised across the sector.

This research examines the impacts of drought and sustainable water management for sport and recreation. Specifically, it provides a case study of sport and recreation provision in a municipality that has already undergone considerable reform due to long-term drought. Sport and recreation use water for purposes such as irrigation of playing fields/pitches, filling swimming pools, stadium amenities and facilities, kitchens, maintenance and cleaning, and clubhouse amenities.

For sports that are heavy users of water for the maintenance of playing fields (such as soccer, Australian Rules football, rugby league, rugby union, grass and clay tennis courts to name a few) the impacts of drought and water restrictions have been severe. Some sports have reported an increase in the risk of injury to participants because of the condition of un-watered playing fields (Sport and Recreation Victoria 2007). Others have been forced to delay or shorten their seasons (Sleeman 2007), or worse still, cancel training and organised competition completely (Connolly and Bell 2007). While the impact of water restrictions has been profound on most sports, there are some sports that are not heavy water users and the impact of drought and water restrictions has been minimal. This problem creates issues and apparent inequities raising the need to further examine water consumption in sport and recreation. The potential outcome that arises is that the future of those sports that cannot conduct their competitions may be disadvantaged, while other sports that do not have such problems may be able to flourish.

Water, and those who control the supply of it, then defines which sports are able to flourish and sustain sport development pathways, compared to those whose survival may be in jeopardy. This research explores the stakeholder management and governance issues that have resulted for sport and recreation in the City of Greater Geelong (CoGG) located in Victoria, Australia--a region in long-term water crisis. The supply of sport and recreation facilities in the CoGG (like most municipalities in Australia) is largely the responsibility of the municipal council. The corporation responsible for the supply of water to the municipality is Barwon Water.

Although other sport and recreation facilities exist in the CoGG, the municipal council of CoGG owns and maintains over 120 sporting ovals (including the stadium used by its professional Australian Football League (AFL) team, the Cats), six swimming pools, and three golf courses. The CoGG host their professional AFL team, a range of local, national and international sport events, and provide a wide range of sport and recreation facilities for the community residents.

Eight interviews were conducted in total. Interviews were conducted with representatives from CoGG municipal council (who are responsible for the delivery of sport and recreation services and facilities in Geelong), and representatives from Barwon Water (who are responsible for the ongoing provision and maintenance of sport and recreation services and facilities) through the provision of water. Results show that the ten highest users of water in the municipality are sport and recreation facilitieswhich between them use almost one-third of the city's total water consumption (City of Greater Geelong 2006).

The municipal council is under considerable pressure to find ways to continue to provide sport and recreation opportunities for community members, as well as professional athletes and teams who use these facilities despite water restrictions. After all, these facilities provide benefit to spectators and participants, as well as businesses that rely on visitors to Geelong for sport and recreation events.

Due to such pressures, from 2007, the CoGG and Barwon Water agreed to provide the sport and recreation sector with water allocations rather than to be denied of all water under the water restriction regimes in place in the municipality. During 2007 summer sport season, this allowed the CoGG to keep 16 of its 120 sporting ovals open for participation through allocating all available water to these fields in order to keep them safe and playable. However, CoGG and Barwon Water were required to devise a rating scale to determine which sports (and sport facilities) were to share the allocated water, and which were not. These decisions also had knock on effects through sports. In order to ensure the safety of the playing surfaces, the CoGG and Barwon Water also restricted use of fields to competition only, therefore sport participants were forced to train on local beaches and other parkland areas-transferring issues of safety and public liability to other locations and facilities in the community. Further, it was reported that scheduling of competition seasons and individual matches; as well as the allocation of "home ground" gate receipts and concessions profits were required to be governed by the CoGG and Barwon Water as the competing sports were unable to agree. Perhaps more importantly, the rating scale developed for water allocation also resulted in some sports being rated as ineligible for water and as a result were unable to stage their entire competitions.

Clearly, the water allocation rating scale, and approach taken in this municipality to the continued delivery of sport and recreation has provided a workable solution. However, this study also signals that new stakeholders have entered the arena for the governance of sport. Governance structures in sport and recreation are being impacted as a result of the water crisis.

Those making decisions about which sport and recreation activities and/or facilities will be assisted with water resources are being made by local councils and water corporations. Sport managers are being required to understand existing areas of knowledge (such as turf management) in different ways, to gain knowledge in new areas (such as sustainable water management), and to lobby new stakeholder groups (such as water corporations) in order to secure their futures. The continued existence of some sports is no longer in the hands of governing bodies, but in the hands of local councils, and water corporations.

Clearly, any of the solutions implemented as discussed above, require multiple stakeholders to interact, and to reach agreement in order to assist in sustainable management of water in sport and recreation. In this sense, the management of water in sport (and all other industries) is more than a rational decision about policy, legislation, restrictions and resource allocations. It is a social and political process requiring scholarly attention for practical solutions.

Absorption and desorption characteristics of fluoride in the calcareous and siliceous sand sheet aquifers of south-west Victoria, Australia

This study assessed the sustainability of utilising groundwater systems to
manage an aluminium smelter's fluoridated trade wastewater stream. Replacing ocean discharge of the wastewater with land irrigation is one option. Using a groundwater model (developed using MODFLOW incorporating parameter estimation software (PEST-ASP)), we found that most of the groundwater flow takes place through surface sands. Fluoride is adsorbed in these sands during the drier summer months, but desorption is rapid when winter rain flushes the aquifer. Underlying clays and other layers prevent significant contamination of the deeper aquifer.

Movement patterns of southern bell frogs (Litoria raniformis) in response to flooding

Within the semiarid regions of New South Wales, Australia, the endangered southern bell frog (Litoria raniformis) occupies a landscape that is characterised by unpredictable rainfall and periodic flooding. Limited knowledge of the movement and habitat-occupancy patterns of this species in response to flood events has hampered conservation efforts. We used radio-tracking to assess changes in movement patterns and habitat occupancy of L. raniformis (n = 40) over three different periods (November, January and April/May) that coincided with the flooding, full capacity and subsequent drying of waterbodies within an irrigation landscape. We assessed (1) the use of permanent and ephemeral habitats in response to flooding and drying and (2) distances moved, turning angles and dispersion of frogs during wetland flooding, full capacity and drying. Individuals remained in permanent waterbodies in November but had abandoned these areas in favour of flooded ephemeral waterbodies by January. As the ephemeral waterbodies dried, radio-tracked individuals moved back into permanent waterbodies. The movement patterns of radio-tracked individuals were significantly different in the three radio-tracking periods, but did not differ significantly between sexes. Individuals moved significantly greater distances over 24 h, in straighter lines and movements were more dispersed while they occupied ephemeral waterbodies during January than when they occupied permanent waterbodies during November and April/May. Local weather conditions did not influence movement patterns when all three tracking periods were modelled together using a single linear stepwise regression. The dynamic distribution of habitat patches over space and time, combined with changing patterns of resource utilisation and movement of L. raniformis, highlights the importance of incorporating both permanent and ephemeral habitat patches into conservation plans. Reductions in flood frequency and extent of ephemeral wetlands due to modified flooding regimes have the capacity to limit dispersal of this species, even when permanent waterbodies remain unchanged.

Bearing the risk : learning to be drier mid-river

This paper investigates learning related to the phenomena of drying over the past decade in the southern Murray-Darling Basin in Australia, as perceived in a mid-river site within the western Riverina of New South Wales, Australia. The insights from audio-recorded interviews, with a wide range of adults across the water-dependent community, mostly relate to the catchment of the  Murrumbidgee River in the Shire of Hay. Our overarching theme is about how  people are learning about, understanding and bearing the risks, of what is widely regarded as a prolonged drought. For some, the learning is about how to cope with less water in the Basin, and particularly from the river, as predicted in the climate change literature. Our narrative-based, empirical research registers the felt experience of those located, in situ, as a severe ‘irrigation drought’ extends into 2009. The paper dramatises the many obstacles to learning how to think and act differently, in difficult and rapidly changing ecosocial circumstances.

Water regime and salinity changes in wetland macroinvertebrate communities

The research successfully showed how biological communities change in wetlands that are affected by salinity and altered water regimes as a result of irrigation and river regulation. As an outcome of the study, recommendations have been made for the future management of wetlands in the Kerang region in northern Victoria.

Alternative water strategies in public domains : innovative strategies in progress along North Terrace, Adelaide

Water sensitive design on our urban threshold is increasingly becoming topical. In Adelaide it is being driven by stormwater management strategies and economic efficiencies in a city that is beginning to embrace its Mediterranean environment, low water sustainability, and whether our showpiece public domains in Adelaide can afford large expanses of manicured lawns.

This paper reviews four projects in progress along the North Terrace in Adelaide. The first involves a major redesign of First Creek as it traverses Adelaide Botanic Garden to address stormwater management issues. The redesign includes strategies to control flash flooding, to cleanse stream water from pollutants, and to carefully incorporate a wetland system as an integral botanical and horticultural feature of a botanic garden. Further down North Terrace, the University of Adelaide is evaluating a scenario that will totally redesign Goodman Crescent, its picture-postcard promenade lawn. The scenario is to host an integrated water retention and water purification and cleansing system that will service independently of mains water an irrigation system and a waterfall. The proposal draws upon a similar strategy recently adopted by the South Australian Museum to capture and cleanse surface and roof water but place the installation and process on display as part of its overall biodiversity museum display that will unfold over the next five years under director Tim Flannery. The fourth example, in process at present, is to devise an integrated water system that may enable the Government House grounds to remove itself from dependence upon costly mains water to totally sustain its extensive gardens and lawns.

Importantly each project has similar threads: creative water maximization and purification use, and a desire to place these ‘installations’ on display as public statements of their commitment to water sustainability in Adelaide. But radically, here are four prominent cultural institutions readily willing to redefine the notion and traditional visual imagery of a ‘wetland’ on what is the main cultural boulevard of a capital city.

Pulse-lavage brushing followed by hydrogen peroxide-gauze packing for bone-bed preparation in cemented total hip arthroplasty : a bovine model

To compare the effectiveness of pulse-lavage brushing followed by hydrogen peroxide-gauze packing with either technique alone or normal-saline irrigation in bone-bed preparation for cemented total hip arthroplasty. 44 fresh-frozen ox femoral canals were prepared for cemented total hip arthroplasty using 4 techniques: normal-saline irrigation, pulse-lavage brushing, hydrogen peroxide-soaked gauze packing, and a combination of the latter 2 techniques. The maximum tensile pull-out force required to separate the prosthesis from the femoral canal was measured as an indicator of the strength of the cement-bone interface. The mean pull-out force to separate the prosthesis from the femoral canal was significantly higher in specimens prepared with pulse-lavage brushing followed by hydrogen peroxide-soaked gauze packing or pulse-lavage brushing alone than those prepared with normal-saline irrigation or hydrogen peroxide-soaked gauze packing alone 300(p<0.001). Pulse-lavage brushing is more effective at cleansing the femoral canal and increasing mechanical strength at the cement-bone interface than preparation with normal-saline irrigation or hydrogen peroxide-soaked gauze packing.

Changes in organic-matter dynamics and physicochemistry, associated with riparian vegetation loss and river regulation in floodplain wetlands of the Murray River, Australia

Extensive clearing of floodplain forests potentially reduces organic matter available to floodplain wetlands. Furthermore, on rivers regulated to provide irrigation water in summer, floodplain wetlands that were previously inundated in spring, now flood in summer/autumn. In the Murray–Darling Basin, Australia, this has changed the timing of organic matter entering the aquatic phase, since leaf fall peaks in summer. Field surveys and mesocosm experiments on floodplain wetlands on the River Murray revealed faster processing rates of leaves in summer/autumn than spring, and no difference between cleared and forested wetlands. Temperature and leaf carbon : nitrogen ratio could not explain these differences, and instead, changes to leaf chemistry associated with ‘terrestrial ageing’ between peak leaf fall in summer and inundation in spring is more likely. The results indicated that the reduction of input of organic matter through riparian tree clearing and changing the timing of inundation interact to alter organic-matter standing stocks and rates of decomposition in floodplain wetlands. Restoring both natural timing of high flows and riparian vegetation might be required for recovery of these wetlands.

The impacts of recycled water on Great Western vineyard soils

Recycled water has facilitated expansion of viticulture in Great Western, Victoria. The recycled water is of medium salinity, and has high concentrations of nutrients and sodium. Irrigation has resulted in increased topsoil EC, pH, and ESP. Laboratory studies identified spatially heterogeneous soils which present a risk of groundwater and offsite contamination.

In-situ cadmium phytoremediation using solanum nigrum L. : the bio-accumulation characteristics trail

In this study, Solanum nigrum L. was used in-situ for Cd phytoremediation in Cd polluted soil on Shenyang Zhangshi Irrigation area (SZIA) in 2008. The performance of the plant over the whole growth stage was assessed. Results showed, during the whole experimental stage, the aboveground biomass of single Solanum nigrum L. grew by a factor of 190, from 1.6 ± 0.4 g to 300.3 ± 30.2 g with 141.2 times extracted Cd increase from 0.025 ± 0.001 to 3.53 ± 0.16 mg. Both the distribution of biomass and amount of extracted Cd in the aboveground part of the plant changed according to the growth of the plant. Particularly, the percentage of biomass and extracted Cd in the stem increased from 20% to 80% and from 11% to 69%, respectively. The bioconcentration factor and transfer factor both varied significantly during the growth of the plant and the lowest values were measured at the flowering stage (0.94 ± 0.31 and 3.48 ± 1.14 respectively). The results in this paper provide reference values for the future research on the application of Solanum nigrum L. in phytoremediation and on chemical or/and agricultural strategies for phytoextraction efficiency enhancement.

The traditional decision-making process of Berkaul in Tanjung Emas, West Sumatra : its nature and significance

Berkaul is a traditional practice associated with the rice cultivation cycle in West Sumatra, Indonesia, intended to seek consensus within the local community about agricultural practices and management of water for irrigation. Berkaul is deeply rooted in the adat and worldview of the region but is much less commonly practiced today than in the past and has disappeared in many parts of the region. This article describes the process of berkaul in Tanjung Emas, West Sumatra, places it within the context of Minangkabau adat and tradition, and considers its value in fostering participation, empowerment, and social inclusion in the context of rural development.

Estuary environmental flows assessment methodology : final specification report

This report provides a consistent and systematic approach to the determination of environmental water requirements for estuaries in Victoria.

Victoria’s limited water resources are subject to competing demands. These demands, including town water supplies and irrigation requirements, often deplete the flow entering estuaries and put their environmental values at risk.

The Estuary Environmental Flows Assessment Methodology (EEFAM) is a standard methodology which can be applied in a consistent manner across all Victorian estuaries, according to their priority. It is not anticipated that this method would be used for the Gippsland Lakes or Port Phillip or Western Port Bay.