Academic literature on the topic 'Gardens, European Australia History'

John Carne Bidwill was born in 1815 in England and died in Queensland in 1853. His short life is relevant to Australia's garden history, botany, the horticultural use of Australian plants in European gardens and the colonial history of Sydney, New Zealand, Wide Bay and Maryborough. He may have been the first to introduce plant breeding into Australia. In a short life, and working in his spare time, he contributed more than many full-time and longer-lived horticulturists. This included discovering new species, crossing new hybrids (specific and inter-generic), and propagating and promulgating plants for the nursery trade and gardeners. His efforts are marked by his name gracing many Australian and New Zealand plants, exotic plant hybrids and modern suburbs of Sydney and Maryborough. This brief biography outlines Bidwill's time in Australasia and Queensland.

Human awareness of plants in Australia goes back 50,000 years when the aboriginal first began using plants to treat, clothe and feed themselves. The European influence came in 1778 with the First Fleet landing in New South Wales. Australia's earliest records of using horticulture for therapy and rehabilitation were in institutions for people with intellectual disabilities or who were incarcerated. Eventually, legislation created greater awareness in the government and community for the needs of persons with disabilities, and many worthwhile projects, programs and organizations were established or gained greater recognition. Horticultural therapy programs may be found in nursing homes, rehabilitation centers, adult training support services, hospitals, day centers, community centers and gardens, educational institutions, supported employment, and the prisons system. This article reviews the history and development of Australian horticulture as a therapy in the treatment of disabilities and social disadvantaged groups, and includes an overview of programs offered for special populations and of Australia's horticultural therapy associations. It also discusses opportunities for research, teaching and extension for horticultural therapy in Australia.

Following European settlement of Australia, numerous plant species were deliberately introduced for use in crops, pastures, gardens and horticulture, and others arrived by chance. Many subsequently escaped and became weedy. Of the 54 weed species of natural environments of arid and semi-arid Australia that are considered here, 27 were apparently accidentally introduced, 20 were intentionally introduced and 7 were probably introduced both accidentally and intentionally. Livestock including camels and their harness, and contaminated seed and hay were the most common vectors for accidental introduction. Amongst intentional introductions, rather more ornamental species appear to have invaded successfully than pasture species, but the former generally occupy niche habitats. Recent new introductions are few due to pre-border, border and post-border protections, but many current arid zone weeds continue to spread. Understanding the history of weed invasions can help to guide current and future management by clarifying pathways for introduction.

The study of ancient Greek and Latin in Australia and New Zealand, especially at Sydney Church of England Grammar School in New South Wales, produced this century a number of leading scholars who made a major contribution to the study of Old World archaeology in Europe and Australia this century. Among them were V. G. Childe, T. J. Dunbabin, J. R. Stewart and A. D. Trendall. In developing their respective fields of expertise, all spent some time in Greece, as students, excavators, research workers and soldiers, and had formative links with the British School at Athens. Australia's debt to the Classics is reflected not only in the life-long attachment to their legacy, and to Greece, by the former Prime Minister, the Hon. E. G. Whitlam, but in the perpetuation of their influence in such Colonial and modern structures as the monument of Lysicrates in Sydney's Botanic Gardens and the National Library and new Parliament House in Canberra, and in an official poster illustrating multiculturalism in Australia. Despite their role in shaping Australia's European history, the teaching of Classics is under threat as never before, and the late Enoch Powell, at one time Professor of Ancient Greek at the University of Sydney, has stigmatised the obscurantism which threatens to impoverish if not undermine Western civilisation by closing access to knowledge of our Classical past.

George Bentham's seven volume Flora australiensis (1863–1879) was the first continental Flora, and for over a century was the only flora treating the whole of Australia. The work was produced with the “assistance” of Ferdinand Mueller, later von Mueller, the Government Botanist of Victoria from 1853, who loaned his collection, group by group, to Kew, enabling Bentham to compare the specimens with those in British and European herbaria. Mueller, who himself had wished to write the Flora, was stimulated to produce descriptions of the species as they were prepared for shipment, and Bentham's timetable strongly structured his publication programme. The limits of taxa recognized by each were similar, although there were often differences in the rank accorded the taxon. The return of Mueller's now authenticated specimens also temporarily transferred the power over Australian plant systematics to Melbourne, a power Mueller later used. Despite his initial disappointment that Bentham was assigned the Australian Flora by William Hooker in the series of colonial Floras, Mueller's association with the project later became a lifeline, helping him keep his self esteem after he was dismissed from his concurrent post as Director of the Melbourne Botanic Gardens in 1873.

Abstract European honey bees have been introduced across the globe and may compete with native bees for floral resources. Compounding effects of urbanization and introduced species on native bees are, however, unclear. Here, we investigated how honey bee abundance and foraging patterns related to those of native bee abundance and diversity in residential gardens and native vegetation remnants for 2 years in urbanized areas of the Southwest Australian biodiversity hotspot and assessed how niche overlap influenced these relationships. Honey bees did not overtly suppress native bee abundance; however, complex relationships emerged when analysing these relationships according to body size, time of day and floral resource levels. Native bee richness was positively correlated with overall honeybee abundance in the first year, but negatively correlated in the second year, and varied with body size. Native bees that had higher resource overlap with honey bees were negatively associated with honey bee abundance, and resource overlap between honey bees and native bees was higher in residential gardens. Relationships with honey bees varied between native bee taxa, reflecting adaptations to different flora, plus specialization. Thus, competition with introduced bees varies by species and location, mediated by dietary breadth and overlap and by other life-history traits of individual bee species.

Over approximately 100 years, the Australian capital, Canberra, has evolved in association with the predominant values, vision and cultural relationships of people to the area. The location and design of the city derived from a formal intention to integrate nature and culture for the benefit and edification of residents and in symbolisation of the city’s importance as the seat of national decision-making and legislature. Established on a native grassland surrounded by wooded hills and ridges, and with nearby confluences of rivers as security of water supply, the city’s landscape was transformed through centralised planning and implementation of Garden City and City Beautiful constructs to become one of the world’s most liveable regions. Twentieth-century expansion of the city’s suburbs, tree streetscapes and gardens progressed with varying emphasis on exotic versus native species, and contemporary programs aim to increase urban tree canopy cover to 30%. Yet, there is increasing acknowledgement of the landscape’s rich history of culture–nature interactions extending back at least 25,000 years. Indicators are evident in human modification of tree-dominated ecosystems, the overlapping ways in which people related to elemental landscape features, and a continuity of valuing particular sites for ceremonies, social activities and human movement. With projected steady population growth, climate change, and associated impacts on the environment and natural resources, contemporary planning must be innovative and integrative to ensure ecologically sustainable development. Strong visionary leadership is needed to develop a landscape policy that encompasses key natural assets including threatened woodlands and mature native trees for their intrinsic values and as habitat for threatened fauna, cultural landscape values such as forested montane and ridge areas, and heritage and protected trees. From pre-European to current times, planning, modification and management of environmental and ecosystem values has been integral to enabling local people to sustain themselves. The next challenge is to create clarity about the future of this cultural landscape and enhance the community’s attachment to and stewardship of the city and its landscape.

AbstractMt Tamborine is a crucial location for Judith Wright's poetry, and for the development of her thought. She wrote the majority of her poetry collections while living on the mountain from 1948–75; it was there that she came face to face with the complexities of Australian ecologies and colonial histories. While her earlier poems from this period reflect a concerted, anti-colonial desire to separate the world of Tamborine from her European inheritance and perspective, by the early 1970s her work becomes preoccupied with symbiotic relationships between her body, her house and garden, and the surrounding landscape. This turn reflects broader shifts in thought in the mid-twentieth century, where notions of separation and precision were being problematised by the emerging field of quantum mechanics.

Abstract European dried gardens from the 16th century have been traditionally associated with the emergence of early modern botany and its relation to the traditional genre of pharmacopeias. This study reviews a sample of the 37 known exemplars of these bound collections and argues that the design and development of these herbaria or dried gardens (orti sicci), as they were also known, reveal a broader set of questions on nature and about the relationships of humans with the natural world than the ones with which they have been linked. Based on the evidence of a diverse corpus of dried gardens—some richly bound, others composed over recycled paper, some with copious annotations, others with a seemingly random layout and distribution of plants—, this paper argues for a comparative reading of these books as a corpus that contributed significantly to early modern natural history and philosophy.

Thesis (Ph.D.)--Indiana University, 2004.
Source: Dissertation Abstracts International, Volume: 66-01, Section: A, page: 0316. Chair: Thomas F. Gieryn. Title from dissertation home page (viewed Oct. 12, 2006).

This dissertation argues for the importance of knowledge production for understanding the relationship between the Russian Empire, the Qing Dynasty, and European actors, from the mid-seventeenth to the early nineteenth century. It focuses specifically on intelligence-gathering, including espionage, as a genre of intellectual work situated in state institutions, oriented toward pragmatic goals, and produced by and for an audience of largely anonymous bureaucrats. It relies on archival sources from Moscow, St. Petersburg, Paris, London, and Rome, as well as published materials. The dissertation begins by investigating how seventeenth-century Siberians compiled information about China, and how maps and documents were transmitted first to Moscow and then to Western Europe to be republished for wider audiences. It then examines the post-Petrine shift to more specialized forms of intelligence-gathering, focusing on industrial espionage in the Moscow-Beijing trade caravan. As the dissertation shows, the changing priorities of the Russian intelligence gathering apparatus shaped and often crippled the ability of Russian Qing experts to address wider audiences. On the mid-eighteenth-century Russo-Qing border, the dissertation follows the building of a robust Russian intelligence network in Qing Mongolia amid unprecedented inter-imperial tension, and its ultimate failure to achieve desired geopolitical ends. These intelligence failures are then shown to provide a compelling new explanation for the collapse of European imperial attempts at diplomacy in East Asia in the last third of the eighteenth century. Finally, the dissertation concludes by showing how, by means of strategic forgetting, intelligence was reconstructed into academic sinology during the reign of Alexander I.
History

This study takes as its focus the contrasting manner in which the Nyoongar indigenous people and the early European settlers utilised three wetland environments in southwest Australia over the century between 1829 and 1939. The thesis offers both an ecological and a landscape perspective to changes in the wetlands of Herdsman Lake, Lake Joondalup and Loch McNess. The chain of interconnecting linear lakes provides some of the largest permanent sources of fresh water masses on the Swan Coastal Plain. This thesis acknowledges the importance of the wetland system to the Nyoongar indigenous people. The aim of this research is to interpret the human intervention into the wetland ecosystems by using a methodology that combines cultural landscape, historical and biophysical concepts as guiding themes. Assisted by historical maps and field observations, this study offers an ecological perspective on the wetlands, depicting changes in the human footprint on its landscape, and mapping the changes since the indigenous people’s sustainable ecology and guardianship were removed. These data can be used and compared with current information to gain insights into how and why modification to these wetlands occurred. An emphasis is on the impact of human settlement and land use on natural systems. In the colonial period wetlands were not generally viewed as visually pleasing; they were perceived as alien and hostile environments. Settlers saw the land as an economic commodity to be exploited in a money economy. Thus the effects of a sequence of occupances and their transformation of environments as traditional Aboriginal resource use gave way to early European settlement, which brought about an evolution and cultural change in the wetland ecosystems, and attitudes towards them.

This thesis in Writing is composed of two parts, a creative work for stage, and an essay that both informs the writing of the drama and reflects upon it. The creative work, entitled Ann Flinders Remembers, a musical drama based on the life and journals of Matthew Flinders, navigator and cartographer, and his wife, Ann Flinders. The drama consists of lyrics, letters, extracts, dialogue, monologue, and stage directions, the story told from the point of view of Ann Flinders remembering, and by the all-knowing Chorus, of early Greek theatre. The essay, entitled 'Reflections on and of the Pastoral', traces the genre from the early Greek plays through to more recent theatre, and precedes the creative work to show how I came to the point of writing a musical drama based on the Pastoral genre, and what literature and theory might have been an influence. In the essay, I challenge some widely held conceptions of the Pastoral, at the same time re-acquainting myself with the techniques used by dramatists throughout history. Such a course enables me to reveal the habit of mind that lies at the source of the ancient genre.

This thesis presents a view of multiple human contacts with Australia, using a variety of data from the literature; linguistic, ethnographic, geographic, physical anthropology and art history. It will be shown that successive groups of people arrived in Australia before its settlement by Europeans. These people made their presence felt in various ways, which have been considered. Some in ancient and later times may have arrived from Africa, perhaps being blown off course and carried by the currents and winds of the Indian Ocean. Later migrations came from Asia, and finally technologically advanced peoples of Indonesia and China came to Australia. Some of these people left artefacts, practices and language that became part of some Aboriginal languages and some religious beliefs and practice, along with some physical biological traces. The peoples named “Aborigines” by European settlers were a diverse set of groups with a diverse set of physical and cultural influences. In particular the Batak people of Sumatra over a period of time contributed a large component of these diverse influences.
http://proxy.library.adelaide.edu.au/login?url= http://library.adelaide.edu.au/cgi-bin/Pwebrecon.cgi?BBID=1274235
Thesis (M.Sc.) -- School of Medical Sciences, 2007.

This thesis presents a view of multiple human contacts with Australia, using a variety of data from the literature; linguistic, ethnographic, geographic, physical anthropology and art history. It will be shown that successive groups of people arrived in Australia before its settlement by Europeans. These people made their presence felt in various ways, which have been considered. Some in ancient and later times may have arrived from Africa, perhaps being blown off course and carried by the currents and winds of the Indian Ocean. Later migrations came from Asia, and finally technologically advanced peoples of Indonesia and China came to Australia. Some of these people left artefacts, practices and language that became part of some Aboriginal languages and some religious beliefs and practice, along with some physical biological traces. The peoples named “Aborigines” by European settlers were a diverse set of groups with a diverse set of physical and cultural influences. In particular the Batak people of Sumatra over a period of time contributed a large component of these diverse influences.
Thesis (M.Sc.) -- School of Medical Sciences, 2007.

‘America, Africa, and Australia’ provides highlights of garden history in North America, Central America, South America, South Africa, and Australia. North America’s earliest traditional gardens were influenced by the settlers from Spain, France, the Netherlands, and England. After independence, garden design was transformed by designers such as Frederick Law Olmsted, the Colonial Revival movement, the Prairie School, and the California Style. The most important gardens in Central America are in Mexico and, in South America, the move away from European styles was led by the Brazilian plantsman and designer Roberto Burle Marx. Australia’s most important and influential garden designers have been William Guilfoyle and Edna Walling.

‘The ancient and medieval garden’ considers the earliest documented gardens from around the world. It begins with the gardens of the Near East and eastern Mediterranean, such as the gardens of the Assyrian kings, Sennacherib and Ashurbanipal, at Nineveh; the villa gardens of Greece and Rome; the ancient gardens of South Asia, including Sigiriya, a Buddhist site in central Sri Lanka; medieval European gardens; the gardens of the Byzantium Empire, which provided the link between the Roman garden and the Islamic garden; and the Mayan, Aztec, and Inca gardens of Central and South America. It explains how gardens and their plants were early players in the process of globalization.

Few women contributed to documenting Indigenous Australian languages in the nineteenth century. Brief accounts are given of six settler women who did so: Eliza Dunlop (1796–1880), Christina Smith (‘Mrs James Smith’; 1809?–1893), Harriott Barlow (1835–1929), Catherine Stow (‘K. Langloh Parker’; 1856–1940), Mary Martha Everitt (1854–1937), and Daisy May Bates (1859–1951). Their contributions are discussed against the background of forty-four other settler women who contributed to language study, translation, ethnography, or language teaching. Reasons for the relative absence of women in language documentation included family demands, child raising, and lack of education, money, and patrons, as well as alternative causes such as women’s rights. Recording Indigenous languages required metalinguistic analytic skills that were hard to learn in societies that lacked free education. Extra obstacles for publication were remoteness from European centres of research, and absence of colleagues with similar interests.

In the article investigational three magazines which went out after Second World war in Germany and Austria in the environment of the Ukrainian emigrants, is «Theater» (edition of association of artists of the Ukrainian stage), «Student flag» (a magazine of the Ukrainian academic young people is in Austria), «Young friends» (a plastoviy magazine is for senior children and youth). The thematic structure of magazines, which is inferior the association of different on age, is considered, by vital experience and professional orientation of people in the conditions of the forced emigration, paid regard to graphic registration of magazines, which, without regard to absence of the proper publisher-polydiene bases, marked structuralness and expressiveness. A repertoire of periodicals of Ukrainian migration is in the American, English and French areas of occupation of Germany and Austria after Second world war, which consists of 200 names, strikes the tipologichnoy vseokhopnistyu and testifies to the high intellectual level of the moved persons, desire of yaknaynovishe, to realize the considerable potential in new terms with hope on transference of the purchased experience to Ukraine. On ruins of Europe for two-three years the network of the press, which could be proud of the European state is separately taken, is created. Different was a period of their appearance: from odnogo-dvokh there are to a few hundred numbers, that it is related to intensive migration of Ukrainians to the USA, Canada, countries of South America, Australia. But indisputable is a fact of forming of conceptions of newspapers and magazines, which it follows to study, doslidzhuvati and adjust them to present Ukrainian realities. Here not superfluous will be an example of a few editions on the thematic range of which the names – «Plastun» specify, «Skob», «Mali druzi», «Sonechko», «Yunackiy shliah», «Iyzhak», «Lys Mykyta» (satire, humour), «Literaturna gazeta», «Ukraina і svit», «Ridne slovo», «Hrystyianskyi shliah», «Golos derzhavnyka», «Ukrainskyi samostiynyk», «Gart», «Zmag» (sport), «Litopys politviaznia», «Ukrains’ka shkola», «Torgivlia i promysel», «Gospodars’ko-kooperatyvne zhyttia», «Ukrainskyi gospodar», «Ukrainskyi esperantist», «Radiotehnik», «Politviazen’», «Ukrainskyi selianyn» Considering three riznovektorni magazines «Teatr» (edition of Association Mistciv the Ukrainian Stage), «Studentskyi prapor» (a magazine of the Ukrainian academic young people is in Austria), «Yuni druzi» (a plastoviy magazine is for senior children and youth) assert that maintenance all three magazines directed on creation of different on age and by the professional orientation of national associations for achievement of the unique purpose – cherishing and maintainance of environments of ukrainstva, identity, in the conditions of strange land. Without regard to unfavorable publisher-polydiene possibilities, absence of financial support and proper encouragement, release, followed the intensive necessity of concentration of efforts for achievement of primary purpose – receipt and re-erecting of the Ukrainian State.

Background Lung cancer is the number one cause of cancer death worldwide.(1) It is the fifth most commonly diagnosed cancer in Australia (12,741 cases diagnosed in 2018) and the leading cause of cancer death.(2) The number of years of potential life lost to lung cancer in Australia is estimated to be 58,450, similar to that of colorectal and breast cancer combined.(3) While tobacco control strategies are most effective for disease prevention in the general population, early detection via low dose computed tomography (LDCT) screening in high-risk populations is a viable option for detecting asymptomatic disease in current (13%) and former (24%) Australian smokers.(4) The purpose of this Evidence Check review is to identify and analyse existing and emerging evidence for LDCT lung cancer screening in high-risk individuals to guide future program and policy planning. Evidence Check questions This review aimed to address the following questions: 1. What is the evidence for the effectiveness of lung cancer screening for higher-risk individuals? 2. What is the evidence of potential harms from lung cancer screening for higher-risk individuals? 3. What are the main components of recent major lung cancer screening programs or trials? 4. What is the cost-effectiveness of lung cancer screening programs (include studies of cost–utility)? Summary of methods The authors searched the peer-reviewed literature across three databases (MEDLINE, PsycINFO and Embase) for existing systematic reviews and original studies published between 1 January 2009 and 8 August 2019. Fifteen systematic reviews (of which 8 were contemporary) and 64 original publications met the inclusion criteria set across the four questions. Key findings Question 1: What is the evidence for the effectiveness of lung cancer screening for higher-risk individuals? There is sufficient evidence from systematic reviews and meta-analyses of combined (pooled) data from screening trials (of high-risk individuals) to indicate that LDCT examination is clinically effective in reducing lung cancer mortality. In 2011, the landmark National Lung Cancer Screening Trial (NLST, a large-scale randomised controlled trial [RCT] conducted in the US) reported a 20% (95% CI 6.8% – 26.7%; P=0.004) relative reduction in mortality among long-term heavy smokers over three rounds of annual screening. High-risk eligibility criteria was defined as people aged 55–74 years with a smoking history of ≥30 pack-years (years in which a smoker has consumed 20-plus cigarettes each day) and, for former smokers, ≥30 pack-years and have quit within the past 15 years.(5) All-cause mortality was reduced by 6.7% (95% CI, 1.2% – 13.6%; P=0.02). Initial data from the second landmark RCT, the NEderlands-Leuvens Longkanker Screenings ONderzoek (known as the NELSON trial), have found an even greater reduction of 26% (95% CI, 9% – 41%) in lung cancer mortality, with full trial results yet to be published.(6, 7) Pooled analyses, including several smaller-scale European LDCT screening trials insufficiently powered in their own right, collectively demonstrate a statistically significant reduction in lung cancer mortality (RR 0.82, 95% CI 0.73–0.91).(8) Despite the reduction in all-cause mortality found in the NLST, pooled analyses of seven trials found no statistically significant difference in all-cause mortality (RR 0.95, 95% CI 0.90–1.00).(8) However, cancer-specific mortality is currently the most relevant outcome in cancer screening trials. These seven trials demonstrated a significantly greater proportion of early stage cancers in LDCT groups compared with controls (RR 2.08, 95% CI 1.43–3.03). Thus, when considering results across mortality outcomes and early stage cancers diagnosed, LDCT screening is considered to be clinically effective. Question 2: What is the evidence of potential harms from lung cancer screening for higher-risk individuals? The harms of LDCT lung cancer screening include false positive tests and the consequences of unnecessary invasive follow-up procedures for conditions that are eventually diagnosed as benign. While LDCT screening leads to an increased frequency of invasive procedures, it does not result in greater mortality soon after an invasive procedure (in trial settings when compared with the control arm).(8) Overdiagnosis, exposure to radiation, psychological distress and an impact on quality of life are other known harms. Systematic review evidence indicates the benefits of LDCT screening are likely to outweigh the harms. The potential harms are likely to be reduced as refinements are made to LDCT screening protocols through: i) the application of risk predication models (e.g. the PLCOm2012), which enable a more accurate selection of the high-risk population through the use of specific criteria (beyond age and smoking history); ii) the use of nodule management algorithms (e.g. Lung-RADS, PanCan), which assist in the diagnostic evaluation of screen-detected nodules and cancers (e.g. more precise volumetric assessment of nodules); and, iii) more judicious selection of patients for invasive procedures. Recent evidence suggests a positive LDCT result may transiently increase psychological distress but does not have long-term adverse effects on psychological distress or health-related quality of life (HRQoL). With regards to smoking cessation, there is no evidence to suggest screening participation invokes a false sense of assurance in smokers, nor a reduction in motivation to quit. The NELSON and Danish trials found no difference in smoking cessation rates between LDCT screening and control groups. Higher net cessation rates, compared with general population, suggest those who participate in screening trials may already be motivated to quit. Question 3: What are the main components of recent major lung cancer screening programs or trials? There are no systematic reviews that capture the main components of recent major lung cancer screening trials and programs. We extracted evidence from original studies and clinical guidance documents and organised this into key groups to form a concise set of components for potential implementation of a national lung cancer screening program in Australia: 1. Identifying the high-risk population: recruitment, eligibility, selection and referral 2. Educating the public, people at high risk and healthcare providers; this includes creating awareness of lung cancer, the benefits and harms of LDCT screening, and shared decision-making 3. Components necessary for health services to deliver a screening program: a. Planning phase: e.g. human resources to coordinate the program, electronic data systems that integrate medical records information and link to an established national registry b. Implementation phase: e.g. human and technological resources required to conduct LDCT examinations, interpretation of reports and communication of results to participants c. Monitoring and evaluation phase: e.g. monitoring outcomes across patients, radiological reporting, compliance with established standards and a quality assurance program 4. Data reporting and research, e.g. audit and feedback to multidisciplinary teams, reporting outcomes to enhance international research into LDCT screening 5. Incorporation of smoking cessation interventions, e.g. specific programs designed for LDCT screening or referral to existing community or hospital-based services that deliver cessation interventions. Most original studies are single-institution evaluations that contain descriptive data about the processes required to establish and implement a high-risk population-based screening program. Across all studies there is a consistent message as to the challenges and complexities of establishing LDCT screening programs to attract people at high risk who will receive the greatest benefits from participation. With regards to smoking cessation, evidence from one systematic review indicates the optimal strategy for incorporating smoking cessation interventions into a LDCT screening program is unclear. There is widespread agreement that LDCT screening attendance presents a ‘teachable moment’ for cessation advice, especially among those people who receive a positive scan result. Smoking cessation is an area of significant research investment; for instance, eight US-based clinical trials are now underway that aim to address how best to design and deliver cessation programs within large-scale LDCT screening programs.(9) Question 4: What is the cost-effectiveness of lung cancer screening programs (include studies of cost–utility)? Assessing the value or cost-effectiveness of LDCT screening involves a complex interplay of factors including data on effectiveness and costs, and institutional context. A key input is data about the effectiveness of potential and current screening programs with respect to case detection, and the likely outcomes of treating those cases sooner (in the presence of LDCT screening) as opposed to later (in the absence of LDCT screening). Evidence about the cost-effectiveness of LDCT screening programs has been summarised in two systematic reviews. We identified a further 13 studies—five modelling studies, one discrete choice experiment and seven articles—that used a variety of methods to assess cost-effectiveness. Three modelling studies indicated LDCT screening was cost-effective in the settings of the US and Europe. Two studies—one from Australia and one from New Zealand—reported LDCT screening would not be cost-effective using NLST-like protocols. We anticipate that, following the full publication of the NELSON trial, cost-effectiveness studies will likely be updated with new data that reduce uncertainty about factors that influence modelling outcomes, including the findings of indeterminate nodules. Gaps in the evidence There is a large and accessible body of evidence as to the effectiveness (Q1) and harms (Q2) of LDCT screening for lung cancer. Nevertheless, there are significant gaps in the evidence about the program components that are required to implement an effective LDCT screening program (Q3). Questions about LDCT screening acceptability and feasibility were not explicitly included in the scope. However, as the evidence is based primarily on US programs and UK pilot studies, the relevance to the local setting requires careful consideration. The Queensland Lung Cancer Screening Study provides feasibility data about clinical aspects of LDCT screening but little about program design. The International Lung Screening Trial is still in the recruitment phase and findings are not yet available for inclusion in this Evidence Check. The Australian Population Based Screening Framework was developed to “inform decision-makers on the key issues to be considered when assessing potential screening programs in Australia”.(10) As the Framework is specific to population-based, rather than high-risk, screening programs, there is a lack of clarity about transferability of criteria. However, the Framework criteria do stipulate that a screening program must be acceptable to “important subgroups such as target participants who are from culturally and linguistically diverse backgrounds, Aboriginal and Torres Strait Islander people, people from disadvantaged groups and people with a disability”.(10) An extensive search of the literature highlighted that there is very little information about the acceptability of LDCT screening to these population groups in Australia. Yet they are part of the high-risk population.(10) There are also considerable gaps in the evidence about the cost-effectiveness of LDCT screening in different settings, including Australia. The evidence base in this area is rapidly evolving and is likely to include new data from the NELSON trial and incorporate data about the costs of targeted- and immuno-therapies as these treatments become more widely available in Australia.