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Fungal infections are a subset of infectious processes that an otolaryngologist is required to be familiar with. They can be encountered in otology, rhinology and head and neck surgery. The presence of fungal rhinosinusitis is well recognised by otolaryngologists, but the classifications and appropriate management are not so well understood. The prevalence of fungal sinus disease is thought to be have been increasing in recent decades There is speculation that this may be due to increased awareness, antibiotic overuse and increased use of immunosuppressant medications. Added to this, there has been a large amount published on the role of fungi as a causative organism in chronic rhinosinusitis. Given the importance of fungal rhinosinusitis in clinical practice, we aim to review the classification and current management strategies based on up-to-date literature.

Ten years ago, 173 people lost their lives and more than 2000 homes were destroyed in the Black Saturday bushfires. The fires of 7 February 2009 led to a Royal Commission and significant changes to bushfire management throughout Australia. Research played an important role in the Royal Commission and subsequent changes. This paper reflects on what was learnt from research into human behaviour and community safety undertaken as part of the Bushfire CRC 2009 Victorian Bushfires Research Taskforce. The research involved interviews with over 600 householders and a mail survey of 1314 households affected by the fires. This paper reviews findings from subsequent post-fire research to consider the extent to which there have been changes in findings related to community planning, preparedness and responses to bushfire. The review suggests that many of the issues encountered on Black Saturday-limited awareness of and preparedness for bushfire risk, a tendency for leaving (or evacuating) at the last moment and a commitment to defending, even under the highest levels of fire danger-persist, despite major changes to policy and public messaging.

There is a growing expectation that volunteers will have a greater role in disaster management in the future compared to the past. This is driven largely by a growing focus on building resilience to disasters. At the same time, the wider landscape of volunteering is fundamentally changing in the twenty-first century. This paper considers implications of this changing landscape for the resilience agenda in disaster management, with a focus on Australia. It first reviews major forces and trends impacting on disaster volunteering, highlighting four key developments: the growth of more diverse and episodic volunteering styles, the impact of new communications technology, greater private sector involvement and growing government expectations of and intervention in the voluntary sector. It then examines opportunities in this changing landscape for the Australian emergency management sector across five key strategic areas and provides examples of Australian responses to these opportunities to date. The five areas of focus are: developing more flexible volunteering strategies, harnessing spontaneous volunteering, building capacity to engage digital (and digitally enabled) volunteers, tapping into the growth of employee and skills-based volunteering and co-producing community-based disaster risk reduction. Although there have been considerable steps taken in Australia in some of these areas, overall there is still a long way to go before the sector can take full advantage of emerging opportunities. The paper thus concludes by identifying important research and practice gaps in this area.

Following Australia's Black Summer of 2019-20, research is being done to improve community warnings and information. Importantly, this will inform and support the ongoing development and refinement of community engagement and communications before, during and after bushfires.

Wildfires continue to destroy houses, but an understanding of the complex mix of risk factors remains elusive. These factors comprise six themes: preparedness actions (including defensible space), response actions (including defence), house construction, landscape fuels, topography and weather. The themes span a range of spatial scales (house to region) and responsible agents (householders through government to entirely natural forces). We conducted a statistical analysis that partitions the contribution of these six themes on wildfire impact to houses, using two fires that destroyed 200 houses in New South Wales (Australia) in October 2013 (the Linksview and Mt York fires). We analysed 85 potential predictor variables using Random Forest modelling. The best predictors of impact were whether the house was defended and distance to forest toward the direction of fire spread. However, predictors from all four of the other themes had some influence, including distance to the nearest other burnt house (indicating house-to-house transmission) and vegetation cover up to 40 m from the house. The worst-placed houses (undefended, without adequate defensible space, with burnt houses nearby and with a westerly aspect) were 10 times more likely to be impacted than the best-placed houses in our study. The results indicate that householders are the agents most able to mitigate risk in the conditions experienced in these fires through both preparation and active defence.

The 2019–20 Australian fire season was heralded as emblematic of the catastrophic harm wrought by climate change. Similarly extreme wildfire seasons have occurred across the globe in recent years. Here, we apply a pyrogeographic lens to the recent Australian fires to examine the range of causes, impacts and responses. We find that the extensive area burnt was due to extreme climatic circumstances. However, antecedent hazard reduction burns (prescribed burns with the aim of reducing fuel loads) were effective in reducing fire severity and house loss, but their effectiveness declined under extreme weather conditions. Impacts were disproportionately borne by socially disadvantaged regional communities. Urban populations were also impacted through prolonged smoke exposure. The fires produced large carbon emissions, burnt fire-sensitive ecosystems and exposed large areas to the risk of biodiversity decline by being too frequently burnt in the future. We argue that the rate of change in fire risk delivered by climate change is outstripping the capacity of our ecological and social systems to adapt. A multi-lateral approach is required to mitigate future fire risk, with an emphasis on reducing the vulnerability of people through a reinvigoration of community-level capacity for targeted actions to complement mainstream fire management capacity.

Case study of Emergency Volunteering - Community Response to Extreme Weather (EV CREW) - best practice model for central coordination of spontaneous volunteers - intended outcomes for community resilience and emergency management - central coordination does not replace traditional emergency management volunteering - peer reviewed.

Ten years ago, 173 people lost their lives and more than 2000 homes were destroyed in the Black Saturday bushfires. The fires of 7 February 2009 led to a royal commission and significant changes to bushfire management throughout Australia. Research played an important role in the royal commission and subsequent changes. This paper reflects on what was learnt from research into human behaviour and community safety undertaken as part of the Bushfire CRC 2009 Victorian Bushfires Research Taskforce. The research involved interviews with over 600 householders and a mail survey of 1314 households affected by the fires. This paper reviews findings from subsequent post-fire research to consider the extent to which there have been changes in findings related to community planning, preparedness and responses to bushfire. The review suggests that many of the issues encountered on Black Saturday-limited awareness of and preparedness for bushfire risk, a tendency for leaving (or evacuating) at the last moment and a commitment to defending, even under the highest levels of fire danger-persist, despite major changes to policy and public messaging.

Ten years ago, 173 people lost their lives and more than 2000 homes were destroyed in the Black Saturday bushfires. The fires of 7 February 2009 led to a royal commission and significant changes to bushfire management throughout Australia. Research played an important role in the royal commission and subsequent changes. This paper reflects on what was learnt from research into human behaviour and community safety undertaken as part of the Bushfire CRC 2009 Victorian Bushfires Research Taskforce. The research involved interviews with over 600 householders and a mail survey of 1314 households affected by the fires. This paper reviews findings from subsequent post-fire research to consider the extent to which there have been changes in findings related to community planning, preparedness and responses to bushfire. The review suggests that many of the issues encountered on Black Saturday-limited awareness of and preparedness for bushfire risk, a tendency for leaving (or evacuating) at the last moment and a commitment to defending, even under the highest levels of fire danger-persist, despite major changes to policy and public messaging.

Background: There is currently limited evidence on the comparative educational value of virtual reality (VR) in high-fidelity simulation for managing acutely unwell patients (AUPs). This study aimed to evaluate the effects of VR sessions on performance outcomes in technical skills and non-technical skills during high-fidelity simulation for AUPs. Methods: This randomized controlled trial was conducted among fifth-year medical students in England. The control arm followed the standard curriculum, whereas the intervention arm completed a VR session prior to their high-fidelity simulation. In both arms, non-technical skills were evaluated using a validated behavioral markers system (BMS), whilst technical skills were assessed by calculating the percentage of critical actions completed. Results:The non-technical skills performance did not differ significantly between the control and intervention arms, nor did the percentage of critical actions completed. Participants provided predominantly positive feedback on their experience with the VR intervention. Conclusions: Whilst previous evidence suggests the potential transferable skills and cost-effectiveness of VR sessions, this study did not show measurable improvements in performance outcomes, likely due to small sample size. The findings of this pilot study emphasize the importance of conducting further research to explore the direct impact of VR sessions upon clinical outcomes, and their suitability as an adjunct to high-fidelity simulation.