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Objectives: Most outpatient parenteral antimicrobial therapy (OPAT) services use a hospital-based model of care in which patients remain in proximity to large hospitals facilitating clinical review. We aimed to evaluate clinical outcomes and complication rates for patients living in geographically isolated locations managed by telemedicine-supported OPAT. Methods: This was a retrospective cohort study.Results: Between 2011 and 2015, we delivered 88 episodes of care involving 83 adult patients resulting in 2261 days of OPAT. The median age was 56 years, 8 of 83 (10%) were indigenous Australian and the median Charlson comorbidity index score was 2 (IQR 1-4). The median distance of patients' residence from our hospital was 288 km (IQR 201-715) and the median duration on the programme was 26 days (IQR 14-34). Bone and joint infections accounted for 75% of infections treated. Favourable clinical outcomes (improvement or cure) were achieved in 87% of patients and the unplanned, OPAT-related readmission rate was 8%. Nineteen percent and 10% of patients had drug-related and line-related adverse effects, respectively.Conclusions: Despite a complex case mix, our adverse event and readmission rates are similar to the published literature describing a non-telemedicine model to deliver OPAT. High rates of favourable clinical outcomes and likely cost benefits suggest that telemedicine-supported OPAT is an efficacious and safe substitute for inpatient care in our setting. [ABSTRACT FROM AUTHOR]

The increasing global demand for rare earth elements (REEs) has led to their recognition as emerging contaminants; however, the effect that biota have on the cycling of these elements at the watershed scale is not currently well understood. In this study, water samples and field freshwater clams Corbicula fluminea were concurrently collected along watershed gradients, and concentration profiles of 14 naturally occurring REEs were measured in operationally defined water fractions and soft tissues of the freshwater clams. Moreover, Post Archean Australian Shale (PAAS) normalized REE patterns, fractionation indices, and anomalous values were determined to further extract characteristic features. As a result, both the water and biological samples had variable REE compositions, with higher concentrations of light REEs (LREEs) than middle REEs (MREEs) and heavy REEs (HREEs), while decreasing concentrations were generally observed as filter pore size decreased, implying that large colloidal and particulate fractions were important carriers of REEs. The spatial distribution patterns of REEs revealed a clear site effect among profiles, with variability more pronounced among watersheds and with peaks in sites from a small watershed near the hotspots of the mining area, and then exhibited a decreasing trend with distance from there. Meanwhile, significant bioaccumulation of REEs was observed potentially reflecting different degrees of contamination gradients among the watersheds. The PAAS-normalized distribution patterns tended to be slightly enriched in MREEs, producing a peculiar "roof-shaped" feature and characteristic fractionation. Remarkably, bio-concentration factors (BCFs) highlighted the importance of large colloidal and particulate phases in assessing biologically available REEs for filter-feeding species. Collectively, our study strongly favored that accumulation patterns and fractionation characteristics of REEs in C. fluminea can serve as a reliable indicator of geochemical behavior, providing a promising biomonitoring tool to quantitatively denote different degrees of REE contamination and assess possible impacts in mining watersheds., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2021 Elsevier B.V. All rights reserved.)

"This paper presents an overview of Asian student migration to Australia, together with an analysis of political and educational aspects of the overseas student programme. It focuses on some significant consequences of this flow for Australia. The characteristics of key student groups are contrasted to provide some perspective of the diversity of historical and cultural backgrounds, with the source countries of Malaysia, Indonesia and PRC [China] selected as case studies. Since the issue of PRC students in Australia has attracted considerable public attention and policy consideration, particular focus is placed on their experience." (SUMMARY IN FRE AND SPA), (excerpt)

"The most significant population movement affecting Australia in recent years has been a dramatic growth in the number of short term arrivals.... While a substantial literature has evolved concerning overseas students' temporary migration and settlement, there has been only limited demographic analysis undertaken to date, including minimal attempt to explore the participation and specific student experience of women. This paper seeks to address this omission through presentation of a detailed analysis of the characteristics of Asian female students within the overall student movement, together with a preliminary exploration of issues related to their personal and academic transition.", (excerpt)

"This article examines the growth and diversification of...permanent, long and short-term movements of people from Asia and the Pacific and the growth in immigrant and local-born Australians departing Australia to live and work in Asia. The occasional controversies surrounding the growth of Asian arrivals and Australia's current push to integrate with the booming Asian economies are examined. The article concludes with a general discussion of the economic, social, cultural, and international consequences of the two-way movements of people between Australia and its Asian and Pacific neighbors.", (excerpt)