Spawning season, fecundity and proximate composition of the gonads of wild-caught blacklip abalone (Haliotis rubra) from Port Fairy waters, south eastern Australia

This study was based on wild-caught blacklip abalone <i>Haliotis rubrai> L., from Port Fairy waters, south eastern Australia (142&deg;15&prime;E; 38&deg;21&prime;S), from July&nbsp; 1998 to November 1999, and was initiated to evaluate the spawning season and other aspects of its reproductive biology. The shell length and body weight of female and male abalone sampled ranged from 12.0 to 18.6 and 12 to 15 cm, and 137 to 529 and 148 to 585 g, respectively. The sex ratio did not vary significantly from 1:1 through the year. The gonadosomatic index (GSI) ranged from 3.0% to 8.4% in males, and 2.5% to 14.1% for females, and the highest GSI as well as the highest proportion of mature animals were recorded from September to October. During these months the hepatosomatic index (HSI) was low, and an inverse correlation between GSI and HSI (<i>Pi> &lt; 0.05) was evident. Fecundity of blacklip abalone ranged from 1.09 to 7.5 million eggs for females of 12&ndash;14.5 cm in length, and 115&ndash;487 g in total body weight, respectively. The lipid content of the female gonad increased significantly from about July to November, and an opposite trend was observed for lipid content of the digestive gland. Seasonal changes in the protein and ash contents of the gonad and/or the digestive gland were not always significant.<br />

Family and carer smoking control programmes for reducing children's exposure to environmental tobacco smoke

<b>Background:b> Exposure to other people&rsquo;s cigarette smoke (environmental tobacco smoke, or ETS) is an important child health issue.<br /><b>Objectives:b> To determine the effectiveness of interventions aiming to reduce exposure of children to ETS.<br /><b>Search strategy: b>The Tobacco Addiction Group register of studies was searched.MEDLINE, EMBASE and four other health and psychology databases were searched electronically, bibliographies of retrieved primary studies were checked and specialists in the area consulted.<b><br />Selection criteria:b> Controlled trials with or without random allocation were included in this review if they addressed participants (parents and other family members, child care workers and teachers) involved with the care and education of infants and young children (aged 0-12 years). All mechanisms for reduction of children&rsquo;s environmental tobacco smoke exposure, and smoking prevention, cessation, and control programmes targeting these participants are included. These include smoke free policies and legislation, health promotion, social behavioural therapies, technology, education and clinical interventions.<br /><b>Data collection and analysis: b>Two reviewers independently assessed studies and extracted data. Due to heterogeneity of methodologies and outcomes, no summary measures were possible and results were synthesised using narrative summaries.<b><br />Main results:b> Nineteen studies met the inclusion criteria, one of which was subsequently excluded. Three interventions were targeted at populations or community settings, seven studies were conducted in the well child health care setting and eight in the ill child health care setting. Twelve of these studies are from North America. In 12 of the 18 studies there was reduction of ETS exposure for children in both intervention and comparison groups. In only four of the 18 studies was there a statistically significant intervention effect. Three of these successful studies employed intensive counselling interventions targeted to smoking parents. There is little difference between the well infant, child respiratory illness and other child illness settings as contexts for parental smoking cessation interventions. The fourth successful intervention was in the school setting targeting the ETS exposure of children from smoking fathers.<br /><b>Authors&rsquo; conclusions:b> Brief counselling interventions, successful in the adult health setting when coming from physicians, cannot be extrapolated to adults in the setting of child health. There is limited support for more intensive counselling interventions. There is no clear evidence for differences between the respiratory, non-respiratory ill child, well child and peripartum settings as contexts for reduction of children&rsquo;s ETS exposure. <br />

Paramedic identification of stroke : community validation of the Melbourne ambulance stroke screen

<b>Backgroundb>: Paramedics require an effective prehospital tool to eliminate stroke mimics and to assist in the identification of suitable candidates for thrombolytic therapy. The Faster Access to Stroke Therapies study combined two validated stroke assessment tools (the Los Angeles Prehospital Stroke Screen, LAPSS, and the Cincinnati Prehospital Stroke Scale, CPSS) to form the Melbourne Ambulance Stroke Screen (MASS), and performed an in-field validation by Australian paramedics. <br /><b><br />Methodsb>: Over a 12-month period, 18 paramedics participated in the Faster Access to Stroke Therapies study and prospectively collected data contained in the MASS on all stroke dispatches, and for other patients with a focal neurological deficit. Sensitivity and specificity analysis of the LAPSS, CPSS and MASS was calculated and equivalence analysis performed. <br /><b><br />Resultsb>: Paramedics completed 100 MASS assessments for 73 (73%) stroke/transient ischemic attack patients and 27 (27%) stroke mimics. The sensitivity of the MASS (90%, 95% CI: 81-96%) showed statistical equivalence to the sensitivity of the CPSS (95%, p = 0.45) and superiority to the LAPSS (78%, p = 0.008). The specificity of the MASS (74%, 95% CI: 53-88%) was equivalent to that of the LAPSS (85%, p = 0.25) and superior to the CPSS (54%, p = 0.007). All patients misidentified by the MASS (7 strokes, 7 mimics) were ineligible for thrombolytic therapy. <br /><b><br />Conclusionb>: The MASS is simple to use, with accurate prehospital identification of stroke. It distinguishes stroke mimics, with good recognition of suitable patients for thrombolytic therapy.<br />

Do financial reforms improve the performance of financial holding companies? The case of Taiwan

We examine the performance of financial holding companies (FHCs) in Taiwan after the financial reform that removes the separation of banking, securities, insurance, and other financial services. Using data envelopment analysis, we find that FHCs fail to improve technical efficiencies in the post-reform era. They also do not outperform independent commercial banks after the financial reform. Lower technical efficiency caused by excess operating expenses appears to be the primary source of inefficiency. While scale efficiency may improve as FHCs grow larger, the benefits are marginal and insufficient to offset the potential costs of organizational diseconomies. Our findings suggest that increasing the size and scope of financial activities alone do not necessarily improve the performance of financial firms.<br />

Estimating the proportion of metabolic health outcomes attributable to obesity: a cross-sectional exploration of body mass index and waist circumference combinations

BACKGROUND: Recent evidence suggests that a substantial subgroup of the population who have a high-risk waist circumference (WC) do not have an obese body mass index (BMI). This study aimed to explore whether including those with a non-obese BMI but high risk WC as 'obese' improves prediction of adiposity-related metabolic outcomes. <br /><br />METHODS: Eleven thousand, two hundred forty-seven participants were recruited. Height, weight and WC were measured. Ten thousand, six hundred fifty-nine participants with complete data were included. Adiposity categories were defined as: BMI(N)/WC(N), BMI(N)/WC(O), BMI(O)/WC(N), and BMI(O)/WC(O) (N&thinsp;=&thinsp;non-obese and O&thinsp;=&thinsp;obese). Population attributable fraction, area under the receiver operating characteristic curve (AUC), and odds ratios (OR) were calculated. <br /><br />RESULTS: Participants were on average 48&nbsp;years old and 50&nbsp;% were men. The proportions of BMI(N)/WC(N), BMI(N)/WC(O), BMI(O)/WC(N) and BMI(O)/WC(O) were 68, 12, 2 and 18&nbsp;%, respectively. A lower proportion of diabetes was attributable to obesity defined using BMI alone compared to BMI and WC combined (32&nbsp;% vs 47&nbsp;%). AUC for diabetes was also lower when obesity was defined using BMI alone (0.62 vs 0.66). Similar results were observed for all outcomes. The odds for hypertension, dyslipidaemia, diabetes and CVD were increased for those with BMI(N)/WC(O) (OR range 1.8-2.7) and BMI(O)/WC(O) (OR 1.9-4.9) compared to those with BMI(N)/WC(N). <br /><br />CONCLUSIONS: Current population monitoring, assessing obesity by BMI only, misses a proportion of the population who are at increased health risk through excess adiposity. Improved identification of those at increased health risk needs to be considered for better prioritisation of policy and resources.

Decadal decline in demersal fish biomass coincident with a prolonged drought and the introduction of an exotic starfish

Between 1990 and 2011, Port Phillip Bay in southern Australia experienced 2 major ecological disturbances: a prolonged drought from 1997 to 2010, and the introduction of the invasive starfish, Asterias amurensis. The drought reduced land-based nitrogen inputs by 64%, and the biomass of A. amurensis in the deep centre of the bay peaked at 56% of the resident fish biomass in 2000. The impacts of these disturbances on fish were assessed using a demersal trawl time-series spanning 2 decades (1990 to 2011). The timing and spatial extent of changes to fish biomass were analysed using ANCOVA and change point analysis. During the drought, fish biomass declined by 69% in the deep centre of the bay, by 50% at intermediate depths, and showed no significant change around the shallow fringes. This spatial pattern is consistent with hydrodynamic modelling, which suggests that during the drought a greater proportion of the (lower) nitrogen input was retained near the coastal fringe. Most of the decline in fish biomass was attributed to the cumulative effects of reduced productivity during the 12 yr drought. However, declines in 3 species in the deep region were attributed to competition with A. amurensis. Each of these species exhibited high dietary overlap with A. amurensis and displayed sharp declines in biomass coinciding with the peak abundance of A. amurensis in 2000.