(Table 2) Abundance of Radiolaria species in sediment samples from Core AMK4-340

Over the past 13 kyr the most significant natural changes in the Reykjanes ridge region took place within 13-7.8 kyr B.P. They resulted from alternating intensifications of the influence of the Labrador (LWM) and Norwegian-Greenland (NGWM) water masses. During 13-11.7 kyr B.P. natural conditions were governed by influence of LWM with sea surface temperature (SST) 3-5°C lower present one. During 11.7-10.3 kyr B.P. NGWM with SST 6-7°C lower present one predominated. During 10.3-9.5 kyr B.P. oceanographic conditions were rapidly transforming and approaching present ones controlled by interaction between LWM and North Atlantic water masses; SST abruptly increased almost to the present value. During 9.5-8.3 kyr B.P. intensification of NGWM led to small decrease of SST (1.5-2.5°C below present value; between 8.3 and 7.8 kyr B.P. natural conditions had approximated present ones and later on remained relatively stable; SST fluctuated with an amplitude of about 1.5°C.

340,000-year centennial-scale marine record of southern hemisphere climatic oscillation

In order to investigate rapid climatic changes at mid-southern latitudes, we have developed centennial-scale paleoceanographic records from the southwest Pacific that enable detailed comparison with Antarctic ice core records. These records suggest close coupling of mid-southern latitudes with Antarctic climate during deglacial and interglacial periods. Glacial sections display higher variability than is seen in Antarctic ice cores, which implies climatic decoupling between mid- and high southern latitudes due to enhanced circum-Antarctic circulation. Structural and temporal similarity with the Greenland ice core record is evident in glacial sections and suggests a degree of interhemispheric synchroneity not predicted from bipolar ice core correlations.

Preliminary Results from Exercise for Health : A Breast Cancer Recovery Project [Abstract]

The Exercise for Health program is a telephone-delivered exercise intervention for women with breast cancer (BC) living in regional Queensland. The effect of the program is being evaluated in the context of a randomised controlled trial. Consenting, newly diagnosed BC patients, treated in one of 8 regional Queensland hospitals, were randomly allocated to telephone-based exercise counselling (EC) or usual care (UC) at 6-weeks post-surgery. EC participants received an exercise workbook and 16 calls from an exercise physiologist over 8 months. Physical activity levels (PA) (Active Australia & CHAMPS), quality-of-life (FACTB+4), upper-body function (DASH) and fatigue (FACIT-Fatigue) were assessed at baseline (4-6 weeks post-surgery), 6- and 12-months post-surgery. Preliminary analyses of available 6-month data were conducted using t-tests and repeated measures ANCOVAs. Participating women (n=143; EC n=73, UC n=70) were aged 53±9 years and 30% met PA guidelines at baseline. Up to two thirds of the women received adjuvant therapy during the first 6 months following surgery. Greater improvements (mean change+SD) occurred for the EC vs UC group in weekly sessions of walking (1.83±4.3 vs -0.5±5.5, p=0.029) moderate-vigorous PA (5.0±6.5 vs -1.1±6.1, p=0.005) and strength training (1.9±2.9 vs -0.5±4.2 p<0.001), and in upper-body function, reflected by lower log-transformed disability scores (-0.34±0.44 vs -0.17±0.28, p=0.038). More EC than UC participants met PA guidelines at 6 months (46.3% vs 32.7%). Preliminary findings from this ongoing trial suggest that the telephone is a feasible and effective medium for delivering exercise counselling to newly diagnosed BC patients living in regional areas.

Factors associated with recurrence of venous leg ulcers : a survey and retrospective chart review

Background: Chronic venous leg ulcers have a significant impact on older individuals’ well-being and health care resources. Unfortunately after healing, up to 70% recur. ----- Objective: To examine the relationships between leg ulcer recurrence and physical activity, compression, nutrition, health, psychosocial indicators and self-care activities in order to provide information for preventive strategies. ----- Design: Survey and retrospective chart review Settings: Two metropolitan hospital and three community-based leg ulcer clinics. ----- Subjects: A sample of 122 community living patients with leg ulcer of venous aetiology which had healed between 12 and 36 months prior to the survey. ---- Methods: Data were collected from medical records on demographics, medical history and previous ulcer history and treatments; and from self-report questionnaires on physical activity, nutrition, psychosocial measures, ulcer recurrences and history, compression and other self-care activities. All variables significantly associated with recurrence at the bivariate level were entered into a logistic regression model to determine their independent influences on recurrence. ----- Results: Median follow-up time was 24 months (range 12–40 months). Sixty-eight percent of participants had recurred. Bivariate analysis found recurrence was positively associated with ulcer duration, cardiac disease, a Body Mass Index ≤20, scoring as at-risk of malnutrition and depression; and negatively associated with increased physical activity, leg elevation, wearing Class 2 (20–25mmHg) or Class 3 (30–40mmHg) compression hosiery, and higher self-efficacy scores. After adjusting for all variables, an hour/day of leg elevation (OR=0.04, 95% CI=0.01–0.17), days/week in Class 2 or 3 compression hosiery (OR=0.53, 95% CI=0.34–0.81), Yale Physical Activity Survey score (OR=0.95, 95% CI=0.92–0.98), cardiac disease (OR=5.03, 95% CI=1.01–24.93) and General Self-Efficacy scores (OR=0.83, 95% CI=0.72–0.94) remained significantly associated (p<0.05) with recurrence. ----- Conclusions: Results indicate a history of cardiac disease is a risk factor for recurrence; while leg elevation, physical activity, compression hosiery and strategies to improve self-efficacy are likely to prevent recurrence.