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The Host Reproduction Number (HRN) is a measure of the number of adult fruit flies that can emerge from one kilogram of fruit. HRN is a useful tool in surveillance, management and trade. I reviewed the literature for Queensland fruit fly (Qfly) and found data on 297 hosts. There were 81 Qfly hosts with HRN data and 216 Qfly hosts with no HRN data. The HRN will help to inform and triage hosts for target surveillance and management programs. Additionally, HRN will inform disinfestation activities pertaining to incursion response management, risk mitigation and trade options. There is a need for scientists to report HRN in a consistent manner so that Qfly management programs and trade protocols might be optimised. [ABSTRACT FROM AUTHOR]

Although existing studies of audiology first point of contact clinics which screen for retrocochlear pathology have demonstrated positive clinical outcomes, they have provided limited information regarding service impacts. Thus, this study aimed to evaluate both the clinical and health service outcomes of an audiology first point of contact (FPOC) clinic for adults referred to ENT services with suspected retrocochlear pathology. Retrospective cohort study. All 1123 patients referred to the clinic over a 6-year period (2013–2019). Most (73.7%) of the 1123 patients referred to the Retrocochlear Clinic were managed and discharged by the audiologist and did not require ENT appointment. Almost half (43.1%) were directly referred for MRI imaging, of which 4 (1.1%) were diagnosed with Vestibular Schwannoma. Waiting times for first appointments significantly (p < 0.001) reduced from a median of 748 days to 63.5 days over the 6-year period. Attendance rates also significantly (p < 0.001) improved over this time (from 52.2% to 90%). There were no adverse events reported. Of those discharged without attending an ENT appointment, 1.8% were rereferred to ENT within 12 months of discharge. This audiology FPOC Retrocochlear Clinic was shown to be a safe and effective alternative service model. [ABSTRACT FROM AUTHOR]

Background: As health systems face increasing demands, non‐medical prescribing is a workforce redesign strategy adopted within some services. Despite successful implementation in other professional groups, non‐medical prescribing within speech pathology (SP) has not yet been described. Aims: To provide a descriptive account of the development and planned implementation of two SP prescribing models. Methods & Procedures: The evolution of two SP‐led prescribing models, including relevant training and credentialing, for use of (1) nystatin oral drops (100,000 units/mL); and (2) lidocaine (lignocaine) and phenylephrine nasal spray (5 mg/500 μg/spray), in the outpatient setting is detailed. Challenges to implementation are outlined. Main Contribution: The development of relevant governance structures, a research evidenced‐based project evaluation framework, and an overview of training pathways and credentialing was successfully completed. However, implementation of the models was unable to be achieved. A thorough review of the requirements and a discussion of contextual considerations that had a negative influence on the implementation of SP‐led prescribing within this specific service context is provided. Conclusions & Implications: The successful implementation of SP‐led prescribing is complex and highly context dependent. This work offers a discussion and review of the complexities of introducing a non‐medical prescribing model in an outpatient hospital setting. What this paper adds: What is already known on the subject: Allied Health prescribing is an emerging practice area aiming to reduce current pressures on health services. SP‐led prescribing has not been thoroughly investigated in the Australian context. What this study adds to existing knowledge: This study describes the development of a SP‐led prescribing process in the outpatient setting, and a thorough review and discussion of the drivers and barriers to the model's implementation. What are the potential or actual clinical implications of this work?: The successful implementation of SP‐led prescribing was identified to be complex from a legislative and operational perspective, as well as being highly context dependent. This study further highlights the importance of a thorough context evaluation and workflow mapping prior to full‐scale implementation of SP prescribing trials. [ABSTRACT FROM AUTHOR]

Simple Summary: Fruit fly (Tephritidae) present a global market-access issue for horticultural produce. A key method of control for tephritidae pests is the sterile insect technique (SIT). Australia has released a bisex strain, i.e., males and females of sterile Queensland fruit fly, Bactrocera tryoni Froggatt, although only the males contribute to wild-population decline. While the number of stings were higher in one SIT release orchard, compared with the control, we showed that sterile female B. tryoni released in large numbers do not lead to degraded or unmarketable fruit, and therefore are suitable for release in commercial nectarine, peach and plum orchards. Global markets do not tolerate the presence of fruit fly (Tephritidae) in horticultural produce. A key method of control for tephritidae pests, is the sterile insect technique (SIT). Several countries release a bisex strain, i.e., males and females, however the sterile male is the only sex which contributes to wild population declines when released en masse. In commercial orchards, there are concerns that sterile females released as part of bisex strains, may oviposit, i.e., 'sting' and cause damage to fruit, rendering it unmarketable. Australia has released a bisex strain of sterile Queensland fruit fly, Bactrocera tryoni Froggatt, for several decades to suppress wild pest populations, particularly in peri-urban and urban environments. Here, we assessed fruit damage in two commercially grown stone fruit orchards where bisex sterile B. tryoni were released, and in an orchard that did not receive sterile flies. The number of detected stings were higher in only one SIT release orchard, compared with the control; however, there was no difference between SIT and control orchards in the number of larvae detected. We showed that there is no evidence that sterile female B. tryoni released in large numbers caused stings, or damage that led to downgraded or unsaleable fruit. The bisex strain of sterile B. tryoni is recommended for use in commercial stone-fruit orchards, under the conditions in which this trial was conducted. [ABSTRACT FROM AUTHOR]

The advanced audiology-led service is designed to triage and manage children who are referred to Ear Nose and Throat (ENT) outpatient services with middle ear or hearing concerns. This service has resulted in shorter waiting times for children to receive ENT treatment, and improved ENT capacity. The aim of this study was to explore parental satisfaction with the advanced audiology-led ENT service and to determine if there were cultural or process factors affecting satisfaction. Prospective cross-sectional study using a modified Visit-Specific Satisfaction Questionnaire (VSQ-9) survey. One hundred and thirteen parents of children consecutively attending a first appointment in the advanced audiology-led service recruited between October 2016 and October 2017. There were a total of 100 valid responses (rate of 88.5%). The survey showed high levels of satisfaction. Satisfaction scores were significantly higher for items related to interactions with the audiologist compared to items related to waiting times. There were no differences in satisfaction across cultural groups. Parents were equally satisfied with the service whether their child was managed independently by the audiologist or required another appointment for medical input. The advanced audiology-led service had high levels of satisfaction from parents attending with their children. [ABSTRACT FROM AUTHOR]

Fruit flies are among the most destructive horticultural pests. For Queensland fruit fly (Qfly), Bactrocera tryoni (Froggatt) (Diptera: Tephritidae), the sterile insect technique (SIT) is the main control method used in southeastern Australia. SIT involves the mass rearing of Qfly, sterilisation of pupae by irradiation, transport to release centres, and release of sterile Qfly to disperse into the environment. Mating of sterile and wild flies results in no offspring; thus, the wild population rapidly decreases. Previously, research has mainly focused on improvements within the production facility. However, transport from production facility to release sites is also an essential component in all SIT programs. Here, we examined historical records from the Victorian SIT program between 2002 and 2013 in three seasons (spring, summer, and autumn). We compared quality control (QC) data of irradiated fly pupae at the mass‐rearing facility in New South Wales (limited transport) to those of pupae transported to a release centre in Victoria (extensive transport). After extensive transport, pupal weight (−0.3 mg, or −3%) and flight ability (an overall 26% decline) were lower across all seasons, but particularly in spring. Adult emergence was lower across all seasons (an overall 23% decline), but particularly in summer. All three QC parameters were more variable after extensive transport. We discuss potential causes of the observed decreased pupal quality and avenues of future research to mitigate transport losses. [ABSTRACT FROM AUTHOR]

Sterile insect technique is an effective tool to manage a range of pest insects, including the true fruit flies (Diptera: Tephritidae). As part of the process, pupae are dispatched from a mass‐rearing facility for several hundred km to a rearing out centre typically located near the release sites. Transportation of Queensland fruit fly (Qfly), Bactrocera tryoni (Froggatt), pupae from mass production facilities to field release sites is known to negatively affect fly quality. To determine which quality parameters are affected, we assessed adult emergence, flight ability, and rate of fliers between irradiated and non‐irradiated flies that were or were not transported long distance. Pupal weight was not affected by irradiation or transport. We found that transportation and irradiation of pupae resulted in a decrease in percentage fly emergence, flight ability, and fliers. Transportation and irradiation both resulted in 8% reduction in emergence of flies. Additionally, we found that transportation resulted in an increase in the rate of deformity by 65% and irradiation could increase deformity by 75%. Compounding these losses, both transportation and irradiation resulted in the decline of number of fliers by approximately 23% each. [ABSTRACT FROM AUTHOR]

Larval diets used for artificial rearing can have a significant effect on insect biology. The Queensland fruit fly (aka "Qfly"), Bactrocera tryoni (Froggatt) (Diptera: Tephritidae), is one of the greatest challenges for fruit growers in Australia. The sterile insect technique (SIT) is being developed to manage outbreaks in regions that remain free of Qfly and to reduce populations in regions where this species is endemic. Factory scale rearing is essential for SIT; however, artificial larval diets are known to affect the microbiome of Qfly, which may then affect fly performance. In this study, high-throughput Illumina sequencing was used to assess the Qfly microbiome in colonies reared, for five generations from nature, on two common artificial diets (carrot and gel). At generation five (G5), the microbiome was assessed in larvae, pupae, adult males and adult females and standard fly quality control parameters were assessed together with additional performance measures of mating propensity and survival under nutritional stress. At the genus level, bacterial communities were significantly different between the colonies reared on the two larval diets. However, communities converged at Phyla to family taxonomic levels. Bacterial genera of Morganella, Citrobacter, Providencia , and Burkholderia were highly abundant in all developmental stages of Qfly reared on the gel diet, when compared to the carrot diet. Despite abundance of these genera, a greater percentage of egg hatching, heavier pupal weight and a higher percentage of fliers were found in the Qfly reared on the gel diet. Mating propensity and survival under nutritional stress was similar for adult Qfly that had been reared on the two larval diets. Overall, our findings demonstrate that the artificial larval diet strongly influences the microbiome and quality control measures of Qfly, with likely downstream effects on performance of flies released in SIT programs. [ABSTRACT FROM AUTHOR]

To meet changing health service demands, it is critical that speech-language pathologists (SLPs) are working to full scope, considering extended scope models when appropriate, and incorporating delegation models. One such extended scope role for SLPs is medication administration in specialist clinic settings. This paper outlines the process undertaken by SLPs in a particular service to obtain rights for the administration of Co- Phenylcaine Forte nasal spray during nasendoscopy and examines the outcomes of its use within a prospective cohort study. Data from the first 100 patients involved in Co-Phenylcaine Forte nasal spray administration within a single Queensland health facility was collected in relation to outcomes and clinician confidence. The results of the trial revealed administration was performed with 95% of attending patients, clinician confidence with administering was high, and there was only one mild adverse event. This pilot trial suggests independent SLP administration of CoPhenylcaine Forte nasal spray during nasendoscopy is safe when used in a supported environment, and following appropriate training. [ABSTRACT FROM AUTHOR]

The Sterile Insect Technique (SIT) is a most promising methodology for effective control of the Queensland fruit fly (Qfly) , Bactrocera tryoni, a major horticultural pest of Australia. The Qfly SIT has a long history, with a significant amount of research invested, and numerous releases of sterile insects, mainly in NSW and Victoria. In SIT operations worldwide, a reliable insect marking technique is a prerequisite for the successful discrimination among wild and laboratory reared flies in the field, allowing for estimation of wild populations and effective over flooding ratios. For quarantine purposes, often the same requirements apply for declared pest free areas following successful SIT releases programs. A great amount of variation in fluorescent dye performance and visibility has been recorded from several Qfly SIT release projects in the past. Here, we review the past experience from those operations, and the current and developing methods for the marking and identification of Qfly that were mass reared and irradiated for sterile releases. We highlight problems arising from less successful use of fluorescent dyes, and we present novel methodologies that have the potential to substitute the dye in future operations. [ABSTRACT FROM AUTHOR]

Fruit flies are a major pest worldwide for fruit producing industries. Incursions into fly free areas usually occurs via infested fruit; however, little is reported about the size of a propagule to start a new establishment. Propagule pressure is an important predictor of the probability that an invasive species will establish a breeding population. Recently, individual-based model (IBM) became a valuable modelling tool for exploring invasive species. Here, we developed a spatially-explicit individual-based model (IBM) specifically parameterized for the Queensland fruit fly (Qfly) (Bactrocera tryoni Froggatt), a major horticultural pest species in Australia and a major quarantine concern worldwide. Usually, new establishments or incursions originate from the introduction of infested fruit and larvae must progress through several stages to become sexually mature adults. For a Qfly incursion to establish a breeding population, flies must avoid predators and survive long enough to become reproductively mature, find a mate, and find ripening fruit. Additionally, their offspring must survive and successfully reproduce. The IBM model simulated release of a fixed number of flies into a heterogeneous environment of varying suitability. We conducted simulations to delineate the contributions of demographic stochasticity and Allee effects (finding a mate in a spatial environment) on establishment probability. Our model delineated several key influential factors, especially tree density, extrinsic mortality and mating range. We performed sensitivity analyses to identity which biological and ecological mechanisms strongly affect establishment probability. Integrating the model's findings with information on transport of infested fruit helps explain why Qfly incursions are common, but yet most fail to establish. Our model predicted that circa 16 and 50 flies were required for a 50% and 99% chance of establishment respectively. Additionally, our model predicted the mating distance for Qfly was 16.1 m. The mean daily dispersal distance was 30 m. We discuss how this knowledge might be used to better manage Qfly by alterations in surveillance and male annihilation technique. • We used a spatially-explicit individual-based model (IBM) specifically parameterized for the Queensland fruit fly (Qfly). • Our model predicted that circa 16 and 50 flies were required for a 50% and 99% chance of establishment respectively. • Our model predicted the mating distance for Qfly was 16.1 m. • We predicted that the mean daily dispersal distance was 30 m. • Growers can modify their landscapes and control measures to prevent the establishment of Qfly breeding populations. [ABSTRACT FROM AUTHOR]

Since the 1990's, international trade has relied on pest free areas or endemic categories as the basis for market access conditions. In pest free areas, pesticides or other control measures cannot be used until an outbreak is declared. Declaration of an outbreak suspends market access, with the region reverting to the status of an endemic area until pest free status is re-established. Under new phytosanitary measures, an area of low pest prevalence may be used as an intermediate step between pest freedom and outbreak that permits the use of control measures to prevent a breeding population establishing without suspending market access. A low pest population may therefore be tolerated on the basis that breeding and subsequent infestation of fruit is extremely improbable. In this paper, we identify the trapping levels that define areas of low pest prevalence and how this new standard might operate for Queensland fruit fly. [ABSTRACT FROM AUTHOR]

Abstract: Fruit flies (Diptera: Tephritidae) are a major problem for Australia's $6.9 billion horticultural industry. Bactrocera tryoni (Froggatt) is the most significant fruit fly pest in the eastern states of Australia. Catches of male B. tryoni from cuelure-baited Lynfield surveillance traps in towns bordering the Fruit Fly Exclusion Zone in New South Wales, Australia, from November to May in 2001/2002–2007/2008 were analysed with respect to year, town, property type (urban/rural), and tree species/crop varieties in which the trap was placed (tree type). Average catches of all traps were highest in 2007/2008 and lowest in 2003/2004, and showed an overall positive correlation with rainfall (P < 0.05). More B. tryoni males were caught in Wagga Wagga and Lockhart than in other towns. There were no significant differences in catches of B. tryoni between urban and rurally located traps. With respect to tree type, traps placed in pomefruit trees caught significantly more flies than those in citrus, stonefruit, or nonfruit trees, with no significant differences among the latter three tree groups. Within the pomefruit group, traps in apples (Malus domestica Borkh.) and pears (Pyrus spp.) caught significantly more flies than those in cotoneasters (Cotoneaster spp). Within the citrus group, traps in orange trees (Citrus × sinensis (L.) Osbeck) caught significantly more flies than those in mandarin trees (Citrus reticulata Blanco). No significant differences were detected in catches between any members of the stonefruit group. Within the nonfruit group, traps placed in kurrajongs (Brachychiton populneum (Schott & Endl.) R. Br.) caught significantly more flies than those placed on other tree species in the group. This study demonstrates that although surveillance programs conducted to establish and/or maintain area freedom from specific pests may not provide balanced datasets, careful analysis of the results of such programs can provide valuable insights into the behaviour of the species in question. [Copyright &y& Elsevier]

Mediterranean fruit fly ( Ceratitis capitata Weidemann, 'Medfly') is currently distributed only in Western Australia. Although occasional detections occur in South Australia and the Northern Territory, they invoke a comprehensive and rapid response to prevent establishment. Medfly previously occurred on the eastern coast of mainland Australia. However, it is believed to have been displaced by Queensland fruit fly ( Bactrocera tryoni Froggatt, 'Qfly'), with the last recorded finding of Medfly in 1941 for New South Wales and 1953 in Victoria. Tasmania has not documented any incursions of Medfly since 1920 and the Northern Territory eradicated the last incursion in 1994. In contrast, Qfly is regularly found in parts of Queensland, New South Wales, Victoria, and the Northern Territory. A species closely related to Qfly, B. aquilonis (May), is established in the Northern Territory and northern Western Australia. Occasional detections of Qfly in South Australia and southern Western Australia result in immediate regulatory actions and eradication activities to ensure that it does not become established. South Australia, Tasmania and the Fruit Fly Exclusion Zone are free from fruit flies of economic concern. Any detections of pest fruit fly species in these areas are immediately quarantined and eradicated. The distribution of Qfly has remained largely unchanged for the last half-century, with established populations along the eastern States and the Northern Territory. The Medfly distribution has also remained unchanged for the last half-century. Qfly and Medfly do not currently co-exist in Australia. This is likely because of the differences in egg-laying habits, competition by larvae in fruit and differences in host range. A similar displacement of Ceratitis by Bactrocera has occurred in other parts of the world. [ABSTRACT FROM AUTHOR]

The Queensland fruit fly (Qfly; Bactrocera tryoni Froggatt) is a major horticultural pest species in Australia and considered a serious quarantine concern, both domestically and internationally. When a Qfly outbreak is declared in the main horticultural regions of southeast Australia, a 15 km radius suspension zone is established (area of 707 km2) around the epicentre of the outbreak. This suspension radius was originally adopted in the early 1990s. Here, we analysed trapping data in New South Wales (Australia) from 2002 to 2010 to evaluate the suitability of the 15 km suspension radius. There were 439 Qfly incursions recorded in Qfly-free zones, but only 9.9% of these incursions resulted in a declared outbreak. For these outbreaks, we conducted two distinct analyses. First, we modelled the distribution of infestation radii from the outbreaks and predicted the suspension distance using multiple levels of risk protection (e.g. probit 8.7, probit 9). Second, we fitted various probability distributions to individual fly trapping data and then estimated upper confidence limits for suspension distances, based on dispersal patterns of Qfly. Overall, the predicted suspension radii were substantially smaller than the current 15 km radius. Our results concur with other studies suggesting that Qfly are relatively poor colonisers. We propose that the current 15 km could be reduced substantially to 3 or 4 km. • Queensland fruit flies disperse much shorter distances compared to current perceptions. • Generally, dispersal is much less than one kilometre. • Current quarantine distances are excessive and result in needless disinfestation. • Quarantine distances of 3–4 km are supported by the data. [ABSTRACT FROM AUTHOR]

Background: Plunging ranulas are rare mucous extravasation pseudocysts that arise in the floor of the mouth and pass into the submandibular space of the neck. The aim of this study was to investigate the diagnosis, surgical management and outcomes of patients with a plunging ranula at our institution in South East Queensland over a 10-year period., Methods: A retrospective analysis of adult patients diagnosed with and treated for plunging ranula between 2006 and 2016 at Logan Hospital was conducted. Patient demographics, preoperative investigations, surgical management and post-operative outcomes were collected from medical records., Results: A total of 18 adult patients were treated for plunging ranula. Of the 18 cases, 17 were treated via transoral excision of the sublingual gland. The mean age at presentation was 28.8 years with a 3:1 female to male predominance. Fifty-six percent of patients were of Polynesian descent. The success rate was 94% with only one patient experiencing recurrence and requiring re-excision of remnant sublingual gland tissue. Three patients (17%) developed complications related to post-operative bleeding. There was a slight predominance for right-sided disease (56%) compared with left and one case of bilateral plunging ranulas in this series., Conclusion: This study demonstrates that excision of the sublingual gland is an effective and safe treatment for plunging ranula. The majority of plunging ranulas occur in patients aged <30 years with a higher incidence in patients of Polynesian heritage, which is consistent with previous studies suggesting a possible underlying genetic predisposition for this condition., (© 2017 Royal Australasian College of Surgeons.)

Anthropogenic climate change is a major factor driving shifts in the distributions of pests and invasive species. The Queensland fruit fly, Bactrocera tryoni Froggatt (Qfly), is the most economically damaging insect pest of Australia's horticultural industry, and its management is a key priority for plant protection and biosecurity. Identifying the extent to which climate change may alter the distribution of suitable habitat for Qfly is important for the development and continuation of effective monitoring programs, phytosanitary measures, and management strategies. We used Maxent, a species distribution model, to map suitable habitat for Qfly under current climate, and six climate scenarios for 2030, 2050 and 2070. Our results highlight that south-western Australia, northern regions of the Northern Territory, eastern Queensland, and much of south-eastern Australia are currently suitable for Qfly. This includes southern Victoria and eastern Tasmania, which are currently free of breeding populations. There is substantial agreement across future climate scenarios that most areas currently suitable will remain so until at least 2070. Our projections provide an initial estimate of the potential exposure of Australia's horticultural industry to Qfly as climate changes, highlighting the need for long-term vigilance across southern Australia to prevent further range expansion of this species.

The presence of a toxic strain of a fine filamentous cyanobacterium belonging to the Oscillatorialean family Pseudanabaenacea was detected during a survey of cyanobacterial taxa associated with the presence of cylindrospermopsin in dams in Central Queensland (Australia). The strain, AC0243, was isolated and cultured, its genomic DNA extracted and 16S RNA gene sequenced. Phylogenetic analysis placed AC0243 with Limnothrix species, although this genus appears polyphyletic. Moreover, not all morphological characters are consistent with this genus but more closely fit the description of Geitlerinema unigranulatum (R.N. Singh) Komárek and Azevedo. The potential toxic effects of AC0243 extract were assessed chemically and biologically. Cell free protein synthesis was inhibited by the extract. Exposure of Vero cells to the extract resulted in a significant reduction in cellular ATP levels following 24-72 h incubation. The presence of cylindrospermopsin was excluded based on the nature of responses obtained in cell and cell-free assays; in addition, (i) it could not be detected by HPLC, LC-MS, or immunological assay, and (ii) no genes currently associated with the production of cylindrospermopsin were found in the genome. Other known cyanobacterial toxins were not detected. The apparent novelty of this toxin is discussed., (Copyright © 2009 Wiley Periodicals, Inc.)