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Communication of the diagnosis of MND is daunting for patients and neurologists. This study aimed to establish a knowledge base of current Australian practice of breaking the news of an MND diagnosis, to assess the neurologists' educational and training needs and to compare the feedback obtained from neurologists and patients to international practice guidelines. An anonymous survey of neurologists was undertaken in Australia (2014). 73 neurologists responded to this national survey (50.4% response rate). Nearly 70% of neurologists reported finding it “somewhat to very difficult” communicating the MND diagnosis, and 65% reported feeling moderate to high stress and anxiety at the delivery of diagnosis. Compared to international guidelines, areas for improvement include length of consultation, period of follow up and referral to MND associations. Two-thirds of neurologists were interested in further training to respond to patient's emotions and development of best practice guidelines. This is the first national study to provide a comprehensive insight into the process of delivering the MND diagnosis from the neurologists' perspective and to make comparisons with those of patients and the international guidelines. This study forms the basis for developing protocols to improve communication skills and alleviate the emotional burden associated with breaking bad news. [ABSTRACT FROM AUTHOR]

Family carers have a central role in the care and support of people with MND and face the challenges of the disease from diagnosis to progression and the multiple losses of MND, but their support needs are often neglected. This study aimed to investigate the experiences of family carers at the time of diagnosis and their satisfaction with receiving the news. An anonymous postal survey was facilitated by all MND Associations in Australia (2014) and 190 family carers completed the questionnaire. The questions centred on the SPIKES protocol for communicating bad news. Two-thirds of family carers rated the skills of their neurologists as above average and were satisfied with the delivery of the diagnosis, in terms of having a significantly longer consultation time, the neurologist being warm and caring, satisfaction with the amount and content of information they received and relevant supports, and a plan for following up support. Conversely those who rated the neurologist's skills as below average commented on the difficulties they encountered and the long term emotional stress engendered by poor communication. The study emphasises previous research that suggested that neurologists may require education and training in communicating the diagnosis and this should include family carers as a vital member in MND care. [ABSTRACT FROM AUTHOR]

Abstract: Laboratory incubation experiments were conducted to compare the effects of the nitrification inhibitors 3,4-dimethylpyrazole phosphate (DMPP) and 2-Chloro-6-(trichloromethyl)-pyridine (N-serve) on nitrification and nitrous oxide (N2O) emission from a Vertosol from southern Australia, under controlled moisture and temperature. Nitrification rates in the control soil were strongly influenced by the temperature and moisture, increasing by a factor of 3.6 for each 10 °C increase between 5 and 25 °C. DMPP inhibited nitrification effectively for 42 days at 5–15 °C and 40–60% water filled pore space (WFPS). DMPP also slowed nitrification appreciably at 25 °C when the soil was at 40% WFPS, but was less effective at 60% water filled pore space. N-serve inhibited nitrification effectively for 42 days under all test conditions. Emissions of N2O from the urea treatment (no inhibitors) significantly increased with increasing temperature and moisture. The ratio of total N2O emission to total nitrification was not constant and varied from around 0.03% at 5 °C and 40% WFPS to 0.12% at 25 °C and 60% WFPS. DMPP and N-serve reduced cumulative N2O emission over 42 days by more than 65% under all the imposed conditions. [Copyright &y& Elsevier]

Abstract: Water scarcity and nitrate contamination in groundwater are serious problems in desert oases in Northwest China. Field and 15N microplot experiments with traditional and improved water and nitrogen management were conducted in a desert oasis in Inner Mongolia Autonomous Region. Water movement, nitrogen transport and crop growth were simulated by the soil–plant system with water and solute transport model (SPWS). The model simulation results, including the water content and nitrate concentration in the soil profile, leaf area index, dry matter weight, crop N uptake and grain yield, were all in good agreement with the field measurements. The water and nitrogen use efficiency of the improved treatment were better than those of the traditional treatment. The water and nitrogen use efficiency under the traditional treatment were 2.0kgm−3 and 21kgkg−1, respectively, while under the improved treatment, they were 2.2kgm−3 and 26kgkg−1, respectively. Water drainage accounted for 24–35% of total water input (rainfall and irrigation) for the two treatments. Nitrogen loss by ammonia volatilization and denitrification was less than 5% of the total N input (including the N comes from irrigation). However, 32–61% of total nitrogen input was lost through nitrate leaching, which agreed with the 15N isotopic result. It is impetrative to improve the water and nitrogen management in the desert oasis. [Copyright &y& Elsevier]

Abstract: A spatially referenced biophysical model, the water and nitrogen management model (WNMM), was developed and shown to simulate dynamic soil water movement and soil–crop carbon (C) and nitrogen (N) cycling under a given agricultural management, for the purpose of identifying optimal strategies for managing water and fertiliser N under intensive cropping systems (mainly wheat–maize) in the North China Plain and other regions in the world. A uniform data structure, ARC GRID ASCII format, was used both in GIS and WNMM for achieving a close Model-GIS coupling. A significant part of WNMM adopts and modifies concepts and components from widely used models, with a focus on soil N transformations. WNMM simulates the key processes of water dynamics in the surface and subsurface of soils: including evapotranspiration, canopy interception, water movement and groundwater fluctuations; heat transfer and solute transport; crop growth; C and N cycling in the soil–crop system; and agricultural management practices (crop rotation, irrigation, fertiliser application, harvest and tillage). The model runs on a daily time step at any desired scale and is driven by lumped variables (meteorological and crop biological data) in text data format, and spatial variables (soil and agricultural management) in ARC GRID ASCII format. In particular, WNMM simulates all key N transformations in agricultural fields, including mineralisation of fresh crop residue N and soil organic N, formation of soil organic N, immobilisation in biomass, nitrification, ammonia (NH3) volatilisation, denitrification and nitrous oxide (N2O) emissions. WNMM has been successfully applied in Fengqiu County, Henan Province and Luancheng County, Hebei Province, China at site and regional scales. The key WNMM components were intensively calibrated and verified against comprehensive field measurements of soil water content, evapotranspiration, crop leaf area index and yield, NH3 volatilisation, denitrification and N2O emissions as well as nitrate (NO3 −)–N concentrations in the soil solution. A sensitivity analysis showed that WNMM was sensitive to changes in meteorological variables, soil hydraulic properties, land use and agricultural management. At the site scale, WNMM simulated well soil water content, crop growth and yield, NH3 volatilisation and soil NO3 −–N concentration. There was uncertainty in simulating soil denitrification and N2O emissions, when the predicted peaks of denitrification and N2O emissions at very wet conditions could not be confirmed because of limitations in the acetylene-inhibition method for measuring denitrification. At county scale, WNMM simulation of crop yield in Fengqiu County explained 22% of the variation in observed crop yields, and 31% of crop yield variation in Luancheng County where soil variation was less. These results are considered acceptable because factors such as soil salinity and other nutrient deficiencies, which have not been considered in this version of WNMM, may play a role. The source code for the WNMM is available on request. [Copyright &y& Elsevier]