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Within a few years of the establishment of the convict settlement at Sydney Cove, the potato became one of the staple crops of the population due to its relatively high yield and the prior experience of the convicts and free settlers with growing the crop. In 1894, Henry Tryon described a new disease in southern Queensland that caused rapid wilting of plants, a ring of slightly translucent tissue just below the surface of affected tubers, oozing of a thick, white fluid from the 'eyes', and ultimately rotting of the tubers. It soon became known as 'Tryon's disease'. He found that a microbe (bacterium) was always associated with affected tubers and stems, provided a very brief description of the bacterial cells and named the microbe Bacillus vascularum solani. A few years later the American scientist Erwin Frink Smith wrote a paper on a new disease (brown rot) of solanaceous plants including the potato and tomato, in which he called the causal agent Pseudomonas solanacearum , now known as Ralstonia solanacearum. Smith dismissed Tryon's prior claim to the discovery of the disease with some of his comments being personal and scathing. Tryon had the last word, however, cloaking his response in restrained and somewhat convoluted tones. In 1894, the Queensland government entomologist, and later vegetable pathologist, Henry Tryon (1856–1943) discovered a new disease that caused potato tubers to become rotted and putrid. He consistently found bacterial cells in a thick mucilaginous gum in the vascular tissues of wilted stems and infected tubers, and gave it the name Bacillus vascularum solani. The American bacteriologist Erwin Frink Smith would not accept Tryon's discovery, instead naming the causal agent Pseudomonas solanacearum. That bacterium, now called Ralstonia solanacearum is a significant plant pathogen worldwide. Photograph by an unknown person. [ABSTRACT FROM AUTHOR]

Value-based healthcare has been described as the sustainable, equitable and transparent use of healthcare resources to achieve improved experiences and outcomes for people and communities. It is supported by all levels of government in Australia, with recent initiatives championing a shift away from traditional, clinician-centric care delivery to a more contemporary, value-based approach. To date, however, efforts in Queensland have focused on smaller scale siloed models of care and have not extended to the transformational change required to create equitable and sustainable healthcare delivery. The Queensland Health Allied Health Framework for Value-Based Health Care (the Framework) builds on contemporary frameworks with reference to the local context in Queensland and provides a structure and starting point for clinicians and managers to work together with consumers to transform services to focus on preventative health and wellbeing, shifting the focus of care to the community and sustainably improving the quality of care delivered. The Framework outlines key considerations for the design and implementation of new services, including understanding the care pathway, supporting an outcome driven workplace culture, measuring what matters and designing for outcomes. Several key lessons were learnt during the development of the Framework, including the importance of early and sustained consumer partnerships, of establishing a shared definition of value-based healthcare that enables integration across the care pathway and the need for leadership at all levels to actively support the change management process. While developed for Queensland public allied health services, the Framework is intended to be a system-wide tool relevant to all health professionals and services. What is known about the topic? Value-based healthcare provides an approach to restructure healthcare systems to improve health outcomes and the holistic experience of care for people and communities. What does this paper add? This paper details the development of a framework to support health services to transition to a value-based approach. What are the implications for practitioners? By reflecting on the diversity of health practitioners, managers and consumer experiences and the unique opportunities and challenges of individual healthcare services, the framework provides a structure and starting point for services to transition to value-based healthcare. This article belongs to the Special Issue: Value-Based Healthcare. [ABSTRACT FROM AUTHOR]

There is an urgent and unmet need for specialist palliative care services in residential aged care. The Specialist Palliative Care in Aged Care (SPACE) Project aimed to improve palliative and end-of-life care for older people living in residential aged care facilities in Queensland. A representative working group developed a series of service principles around palliative care practice in aged care (comprehensive resident-focused care, streamlined service, and capacity building). Funding was allocated by population to the health services in Queensland to adapt and implement models of care aligned with these principles. SPACE successfully implemented a variety of decentralised models of care across Queensland. The critical elements for the success of SPACE were the use of an expert working group to define the core innovation, networking and implementation support from the central project team and community of practice, and adaptable models of care led by local facilitators. Lessons learned from this real-world case study could be adopted to guide and ensure the successful implementation and sustainability of future complex interventions in healthcare settings, both nationally and internationally. What is known about the topic? There is limited palliative care support for the 36% of Australians who die in residential aged care. What does this paper add? This paper describes the development of the Specialist Palliative Care in Aged Care (SPACE) Project, using locally tailored models of care to improve palliative and end-of-life care in aged care facilities across Queensland. What are the implications for practitioners? Critical elements for improving residents' palliative and end-of-life care included creation of an expert working group to define the innovation state-wide, a central project team that supported implementation, a community of practice, and local facilitation. [ABSTRACT FROM AUTHOR]

Of all the plant diseases that occur in Australia, banana bunchy top disease would rank high on any list of those that have had the greatest impact on society. Bunchy top first became a major problem in Australia during World War 1 in the Tweed Valley in New South Wales, close to the border of Queensland. The Soldier Settlement Scheme was initiated to provide a livelihood for returned soldiers, and the Northern Rivers region of New South Wales was chosen as the site for a new subtropical fruit industry. Physically and psychologically damaged men were encouraged to settle on the land to grow bananas, only to be left in ruins within two years because bunchy top had destroyed their plantations. Bunchy top did not discriminate, and many other well-established growers also 'went broke'. The cries for assistance from the banana growers made it to the federal Parliament in Melbourne, and a Bunchy Top Investigation Committee was formed in 1924 with funding equally contributed by the New South Wales, Queensland, and Australian Governments. Charles Magee was the full-time plant pathologist appointed to the investigation, and he did most of the research. Most histories of the bunchy top research program follow the written accounts of Magee, but he only provided a narrow perspective. Several of the major hypotheses about the epidemiology of bunchy top disease, such as that it was spread in the plant's suckers and was vectored by the banana aphid Pentalonia nigronervosa , were established by growers such as William John (aka Jack) Burton Marks well before the Bunchy Top Investigation Committee began. This paper describes the beginnings of the subtropical banana industry, the introduction of bunchy top disease, and efforts by the scientific and farming communities to find a preventative treatment or cure for the disease. Banana bunchy top disease is the most serious viral disease of bananas in the world, and nearly wiped out the Australian banana industry in the early twentieth century. The impacts of the disease epidemic were hardest felt by veterans of World War 1, who moved to the Northern Rivers region of New South Wales to create a subtropical fruit industry as part of the Soldier Settlement Scheme. This article describes the early history of the Australian banana industry, the introduction and spread of bunchy top disease, and efforts to develop a disease management plan. Photograph by Scot C. Nelson, University of Hawaiʻi. This article belongs to the Special Issue: History of Plant Pathology in Australasia. [ABSTRACT FROM AUTHOR]

Objectives: Cardiac rehabilitation (CR) provides evidence-based secondary prevention for people with heart disease (HD) (clients). Despite HD being the leading cause of mortality and morbidity, CR is under-utilised in Australia. This research investigated healthcare systems required to improve access to CR in rural and remote areas of North Queensland (NQ). Methods: A qualitatively dominant case study series to review management systems for CR in rural and remote areas of NQ was undertaken. Data collection was via semi-structured interviews in four tertiary hospitals and four rural or remote communities. An audit of discharge planning and CR referral, plus a review of community-based health services, was completed. An iterative and co-design process including consultation with healthcare staff and community members culminated in a systems-based model for improving access to CR in rural and remote areas. Results: Poorly organised CR systems, poor client/staff understanding of discharge planning and low referral rates for secondary prevention, resulted in the majority of clients not accessing secondary prevention, despite resources being available. Revised health systems and management processes were recommended for the proposed Heart: Road to health model, and given common chronic diseases risk factors it was recommended to be broadened into Chronic disease: Road to health. Conclusion: A Chronic disease: Road to health model could provide effective and efficient secondary prevention for people with chronic diseases in rural and remote areas. It is proposed that this approach could reduce gaps and duplication in current healthcare services and provide flexible, client-centred, holistic, culturally responsive services, and improve client outcomes. What is known about the topic? Cardiac rehabilitation is known to improve health outcomes and reduce hospitalisations, but referrals and attendance are low (30%). What does this paper add? A revised systems-based model for improved access to secondary prevention for people with heart and related chronic diseases in rural and remote areas of North Queensland is proposed: Chronic disease: Road to health. What are the implications for practitioners? A functional system from hospitalisation to local healthcare services has been designed to improve access to secondary prevention. Staff require support and education to improve skills, better manage care and improve job satisfaction. [ABSTRACT FROM AUTHOR]

The purpose of this case study is to explain the development of Queensland's strategic approach to health system reform, which promotes partnership across the health system to better deliver integrated and value-based health care across the continuum of care. The new health system vision was informed by undertaking literature searches on national and international health system approaches to reform and supported by extensive consultation across Queensland with more than 1100 stakeholders. Thematic analysis was undertaken to identify key themes that were translated into a high-level vision document that communicated Queensland's renewed focus on wellness and delivering more care in the community. This was circulated to stakeholders for iterative and collaborative refinement before final approvals. Collaboratively and iteratively developing the new health system vision for Queensland with key stakeholders has contributed to a shared understanding and ownership of a vision that is committed to system reform, focused on delivering high-value care that reflects what is important to consumers and health system stakeholders. What is known about the topic? Vision statements for organisations including health are common. However, there is little information available in the literature regarding approaches to developing a vision for a health system. What does this paper add? An overview of an approach to developing a new health system vision through comprehensive consultation that engages stakeholders broadly to develop an informed vision that has support from all levels of the health system. What are the implications for practitioners? The method used to develop this vision could be replicated across any large-scale organisation. Although time consuming, the outcome is a vision that is widely supported and sets the organisation up for success for implementation. This article belongs to the Special Issue: Value-based Healthcare. [ABSTRACT FROM AUTHOR]

Background: This paper aimed to describe the legal worries of Australian general practitioners (GPs) and nurses regarding end-of-life care provided in the aged care setting. Methods: An analysis of responses to the final, open-ended question of a cross-sectional online survey of GPs and nurses practising in aged care settings in Queensland, New South Wales and Victoria was undertaken. Results: Of the 162 GPs and 61 nurses who gave valid responses to the survey, 92% (151 GPs and 55 nurses) responded to the open-ended question. Participants identified concerns across all relevant areas of end-of-life law. The most common concerns were substitute decision-makers or family member(s) wanting to overrule an Advance Care Directive, requests for futile or non-beneficial treatment and conflict about end-of-life decision-making. Participants often also identified concerns about their lack of legal knowledge and their fear of law or risk related to both end-of-life care generally and providing medication that may hasten death. Conclusions: Australian GPs and nurses working in aged care have broad-ranging legal concerns about providing end-of-life care. Legal concerns and knowledge gaps identified here highlight priority areas for future training of the aged care workforce. The law supports good end-of-life clinical practice by facilitating health care that aligns with the values and goals of patients, including those residing in residential aged care facilities. GPs and nurses here reported broad-ranging legal concerns relevant to providing end-of-life care within aged care, including substitute decision makers/family members wanting to overrule Advance Care Directives, requests for futile or non-beneficial treatment and conflict about decision-making. Participants' concerns can inform end-of-life legal training for aged care GPs and nurses. [ABSTRACT FROM AUTHOR]

A correction is presented to the article correcting errors in a previously published study titled "COVID-19 vaccine hesitancy, acceptance and informational needs in an Australian cancer population: a cross-sectional survey."

Sugarcane is one of Australia's major agricultural industries, with approximately 95% of the crop being grown in Queensland and the remainder in northern New South Wales. In the last decade of the nineteenth century, cane growers in northern New South Wales started to see a new disease that resulted not only in the death of plants but also in difficulties in the extraction of sugar. Theories about the cause abounded, but investigations by the New South Wales vegetable pathologist Nathan Cobb revealed that the disease, previously unknown to the world, was caused by a microbe in the creamy 'gum' that could be commonly found in the vascular tissues of affected stalks. He named the organism Bacillus vascularum (now known as Xanthomonas axonopodis pv. vasculorum). For some time after, the disease was known as 'Cobb's gumming disease of sugarcane'. The Australian bacteriologist Robert Greig-Smith was not convinced that Cobb had conclusively demonstrated that B. vascularum was the culprit, mainly because he did not satisfy Koch's Postulates. However, the American bacteriologist Erwin Frink Smith came to Cobb's rescue when he proved beyond doubt that B. vascularum was to blame. The disease is now known simply as 'gumming disease of sugarcane'. At the start of the decade of 1890, sugarcane growers in southern Queensland and northern New South Wales began to notice a serious disease affecting their crops. American-born Nathan Cobb, who was the New South Wales Government Vegetable Pathologist, discovered that a bacterium, now known as Xanthomonas axonopodis pv. vasculorum , was the cause of the disease. Although others were not convinced that Cobb had conclusively proved that the bacterium was the causal agent, it was for many years known as 'Cobb's gumming disease of cane'. [ABSTRACT FROM AUTHOR]

The earliest record of pineapple plants being grown around Sydney in the British colony of New South Wales was that of Governor King in 1803. However, the climate of a new northern settlement at Moreton Bay (later Brisbane) soon proved to be far more conducive to growing the fruit. Pineapples prospered for over 50 years around Brisbane until a mysterious disease appeared in the late 1890s. In April 1891, Professor Edward Shelton, an American who had been appointed as the Queensland government's first Instructor in Agriculture, was the first scientist to inspect the affected crops and concluded that the disease was caused by a fungus. In the following year, Shelton, Henry Tryon (then assistant curator at the Queensland Museum) and others again inspected the diseased pineapple crops. Tryon described the symptoms in detail as well as spores which were composed of two rounded elements, each having a double contour (chlamydospores). There is no doubt that the disease was caused by the oomycete Phytophthora cinnamomi that was described decades later. In 1897, Shelton was passionate about agricultural education and was appointed as the first principal of the Gatton Agricultural College, but his disciplining of some students of the college led to his forced resignation just 18 months later. In the early 1890s a serious mystery disease appeared in pineapple plantations around Brisbane, Queensland. The American-born Professor Edward Shelton, Queensland's first instructor in agriculture, Henry Tryon, assistant curator at the Queensland Museum, and others inspected diseased plants and concluded that the disease was caused by a fungus, later identified as the oomycete Phytophthora cinnamomi. Shelton went on to become the first principal of the Gatton Agricultural College, but was forced to resign after severely disciplining some of the students. Photograph by an unknown person. [ABSTRACT FROM AUTHOR]

A taxonomic revision of the Pultenaea setulosa species complex (Fabaceae, tribe Mirbelieae) is presented. Prior to this study, P. setulosa Benth. was broadly circumscribed as a single, morphologically variable species. Here, we present evidence supporting the recognition of 18 species, 14 of which are new to science. Pultenaea setulosa is recircumscribed as a morphologically uniform taxon endemic to the Marlborough region in south-east Queensland. We reinstate Pultenaea boormanii H.B.Will., Pultenaea campbellii Maiden & Betche and Pultenaea lapidosa Corrick from synonymy of P. setulosa and describe an additional 14 new species: Pultenaea acanthocalyx R.L.Barrett & Clugston, Pultenaea corrickiae R.L.Barrett, Orme & Clugston, Pultenaea estelleae R.L.Barrett & Clugston, Pultenaea farmeriana R.L.Barrett, Orme & P.H.Weston, Pultenaea hoskingii R.L.Barrett & Clugston, Pultenaea imminuta R.L.Barrett & S.F.McCune, Pultenaea murrayi R.L.Barrett, Pultenaea palssoniae R.L.Barrett & Clugston, Pultenaea praetermissa R.L.Barrett & Albr., Pultenaea purdieae R.L.Barrett & Clugston, Pultenaea renneri R.L.Barrett & Clugston, Pultenaea venusta R.L.Barrett & Orme, Pultenaea westonii R.L.Barrett & Clugston and Pultenaea woolcockiorum R.L.Barrett & Clugston. Sixteen of these species are endemic to New South Wales, one to Queensland and one to Victoria. All taxa are described and illustrated, and habitats and conservation status are discussed. Two additional related species, Pultenaea procumbens A.Cunn. and P. setigera A.Cunn. ex Benth. are recircumscribed. Pultenaea setigera is reinstated here, known from the type collection made in 1822 and is possibly extinct. Lectotypes are selected for the names Pultenaea boormanii, P. campbellii, P. procumbens, P. setigera and P. setulosa. [ABSTRACT FROM AUTHOR]

Derris Lour. and Brachypterum (Wight & Arn.) Benth. (Leguminosae subfamily Papilionoideae) in Australia are revised on the basis of examination of fresh, dried and spirit-preserved specimens and phylogenetic analysis of plastid matK and nuclear internal transcribed spacer (ITS) sequence data. Three species of Derris and four species of Brachypterum are recognised as occurring in Australia. Two new Brachypterum species, namely Brachypterum nitidum W.E.Cooper and Brachypterum opacum W.E.Cooper, are described and illustrated. Notes on habitat, distribution and an identification key are presented for all species of both genera that occur in Australia. [ABSTRACT FROM AUTHOR]

Introduction. Cancer screening programmes for cervical, breast, and colorectal cancer have successfully reduced mortality rates among target groups. However, a large proportion of women and men are unscreened. Aim. This review aims to provide an overview of the literature regarding the determinants of cancer screening participation among target groups in Queensland. Methods. Electronic databases were searched for studies on determinants of cancer screening participation in Queensland. Retrieved studies were screened, and eligible articles were selected for data extraction. Both peer-reviewed and grey literature studies were included. The determinants of cancer screening participation were classified according to the I-Change model. Results. Sixteen out of 75 articles were selected and analysed. Information factors, such as the lack of tailored strategies, determined cancer screening participation. Age, gender, cultural beliefs, fear and past experiences were the most reported predisposing factors to cancer screening participation. Lack of knowledge, misconceptions, low awareness, timely access to service, privacy and confidentiality were mainly reported awareness and motivation factors. Encouragement from health professionals, providing more information and interactions with communities would result in different effects on cancer screening participation among the target groups. Discussion. The I-Change model is a valuable tool in mapping the current determinants of cancer screening participation programs. Further research may be needed to fully understand the barriers and facilitators of cancer screening programs. [ABSTRACT FROM AUTHOR]

Background: Physiotherapy private practitioners represent a growing proportion of Australia's primary care workforce; however, they face significant barriers in integrating seamlessly within interprofessional teams. Historically, the landscape of primary care in Australia has been one where many physiotherapists work in monoprofessional private practice facilities at dispersed locations, potentially limiting collaborative and coordinated care. The aim of this study was to investigate strategies recommended by physiotherapists to promote effective interprofessional collaborative practice (IPCP) within the Australian private practice setting. Methods: Using interpretive description as the guiding methodological framework, semi-structured interviews were conducted with 28 physiotherapists in 10 private practice sites in Queensland, Australia. Results: Data analysis produced three themes that characterised physiotherapy private practitioners' recommendations to improve IPCP: (a) the need for improved funding and compensation, particularly addressing the limitations of the Medicare Chronic Disease Management program; (b) the development of integrated and secure digital communication systems to facilitate better information exchange; and (c) prioritising professional development and training to enhance collaboration. Conclusions: This research lays the groundwork for informed policy making to advance person-centred care and support the integration of services in the Australian healthcare system. The findings from this study indicate that promoting effective IPCP in physiotherapy private practice requires a comprehensive strategy that addresses systemic funding and compensation issues, enhances digital communication systems and optimises interprofessional education and training. Physiotherapists working in primary care are becoming increasingly important members of interprofessional healthcare teams. This research outlines key strategies from the perspective of Queensland physiotherapy private practitioners, including reforming funding structures, leveraging digital communication and improving education and training initiatives, to promote effective interprofessional collaborative practice. The insights from this study underscore the broader complexities within Australia's healthcare system and emphasise the need for strategic changes to achieve collaboration in ensuring optimal patient care. [ABSTRACT FROM AUTHOR]

Objective. There is limited evidence about how legal frameworks that underpin end-of-life decisions are applied in practice. This study aimed to identify how end-of-life decisions are made and documented in emergency departments and intensive care units. The secondary aim was to explore the extent to which the legal processes featured in these decisions. Methods. A retrospective chart audit of 85 adult patients who died in the emergency departments and intensive care units of a Queensland health service was undertaken. Quantitative data were analysed and reported using descriptive statistics. Qualitative textual data were analysed using inductive content analysis. Results. Nearly all admissions were unplanned (97.6%), and most patients (74.1%) were admitted from home. Only one patient had an advance health directive, although all had an eligible substitute decision-maker. The qualitative analysis revealed two main concepts -- 'healthcare professionals choreograph the end of life' and 'patients and families are carried on an unplanned journey'. Conclusions. There was limited documentation related to the application of the legal framework in these decisions. Healthcare professionals relied on their clinical judgment about what was in the best interest of the patient. It was common for there to be a substantial effort to achieve consensus in decision-making which coincidentally complied with the law. [ABSTRACT FROM AUTHOR]

Age is an essential attribute in studies of animal development, survival and reproduction. Here we evaluate the age estimation technique of molar progression devised for kangaroos in 1965. We used 71 wild eastern grey kangaroos (Macropus giganteus) that were first captured and aged as pouch young at Wilsons Promontory National Park, Victoria, and subsequently found dead between the ages of 1 and 14 years. We expected that the original equation, derived from captive kangaroos in Queensland, would not estimate age correctly due to differences in diet and/or clinal variation in skull morphology. We found no difference in rate of molar progression between males (n = 44) and females (n = 27). Our overall regression of age on molar index (MI) was log10 (age, days) = 0.284 (MI) + 2.51 1, r² = 0.97. The slope of this equation was indistinguishable from that of the original one, meaning that molar progression in the wild was equivalent to that originally developed on captive kangaroos, despite likely differences in diet and morphology. [ABSTRACT FROM AUTHOR]

Australia's mammals are facing devastating effects from introduced predators such as cats and foxes. It is hypothesised that this may be because Australian mammals do not recognise some predators and are naïve to the threat they pose. We tested how wild-caught northern brown bandicoots (Isoodon macrourus) reacted to a variety of predators and their cues in captivity. These cues were live predators, taxidermied predators and predator faeces. Bandicoots spent less time feeding and took longer to begin feeding in the presence of a live dog. However, they did not display a significant difference in behaviours in the presence of any other predator cue when compared with the baseline. This suggests that bandicoots may perceive live dogs as a threat, and that the use of taxidermied predators and predator faeces may not elicit avoidance behaviours in bandicoots. Bandicoots may need to be trained to recognise and respond appropriately to some predator cues to maximise their chance of survival. [ABSTRACT FROM AUTHOR]