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This study presents future changes in extreme precipitation as projected within the New South Wales and Australian Capital Territory Regional Climate Modelling (NARCliM) project's regional climate ensemble for south-east Australia. Model performance, independence and projected future changes were considered when designing the ensemble. We applied a quantile mapping bias correction to the climate model outputs based on theoretical distribution functions, and the implications of this for the projected precipitation extremes is investigated. Precipitation extremes are quantified using several indices from the Expert Team on Climate Change Detection and Indices set of indices. The bias correction was successful in removing most of the magnitude bias in extreme precipitation but does not correct biases in the length of maximum wet and dry spells. The bias correction also had a relatively small effect on the projected future changes. Across a range of metrics, robust increases in the magnitude of precipitation extreme indices are found. While these increases are often in-line with a continuation of the trends present over the last century, they are not found to be statistically significant within the ensemble as a whole. The length of the maximum consecutive wet spell is projected to remain at present-day levels, while the length of the maximum dry spell is projected to increase into the future. The combination of longer dry spells and increases in extreme precipitation magnitude indicate an important change in the character of the precipitation time series. This could have considerable hydrological implications since changes in the sequencing of events can be just as important as changes in event magnitude for hydrological impacts. [ABSTRACT FROM AUTHOR]

Context: Medical professionals often express weight-biased attitudes. Prior research suggests that people who overcome a challenge are critical of individuals who struggle to overcome the same challenge. Thus, medical trainees who have successfully achieved and maintained weight loss may express greater weight bias and more critical attitudes toward patients with obesity who fail to overcome these challenges., Objectives: This study was designed to determine the effects of medical trainees' weight-loss history on weight-biased attitudes and responses to patients with varying weight-loss outcomes., Methods: An online survey was completed by 219 medical students and internal medicine residents. Participants' weight-biased attitudes were assessed before they were randomly assigned to read one of three patient vignettes in which the patient lost no weight, lost/regained weight, or lost/maintained weight. Independent measures included trainee gender, trainee weight loss and maintenance, and the three experimental conditions of patient outcomes. Dependent measures included the Anti-Fat Attitudes (AFA) Questionnaire's Willpower and Dislike subscales, ratings (on a scale of 1-7) of compassion, frustration, and blame toward the patients presented in the vignettes, and perceptions of the physician-patient alliance. All analyses controlled for trainee body mass index., Results: Among trainees, 67.1% reported having successfully lost weight. Of those who had lost weight, 79.5% reported maintaining their weight loss. Trainees who had successfully lost/maintained weight expressed less compassion toward patients across vignettes (5.4 ± 1.2 versus 5.9 ± 1.2; p<0.05), and more blame toward the patient who lost/regained weight than did trainees who had lost/regained weight (3.4 ± 1.3 versus 2.3 ± 1.3; p<0.01). Overall, the patient who did not lose weight was viewed most negatively, followed by the patient who lost/regained (all p-values < 0.05). Female (but not male) trainees who had successfully lost weight expressed stronger weight-biased attitudes on the AFA scales than did those who had never lost weight (all p-values < 0.01)., Conclusions: Medical trainees' personal success with weight loss and maintenance may negatively affect their perceptions of patients with obesity who struggle with weight management., (© 2017 John Wiley & Sons Ltd and The Association for the Study of Medical Education.)