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The aim of this paper is to share the details of a multidisciplinary approach, which includes occupational therapy, and to review the factors that should be considered in the evaluation and treatment of children with autism spectrum disorders (ASD) who are excessively selective in their food choices. Issues in this area are complex and often related to several complementary domains (medical, nutritional, psychosocial, sensorimotor, etc.). However, feeding disorders are frequently assessed and treated from a single discipline and important issues are missed or confounded.

A team of experienced clinicians in the field of paediatric feeding disorders gathered the knowledge and experience they acquired from working with individuals with ASD as well as with individuals with other neurodevelopmental diagnosis. A review of current literature in paediatric feeding disorders was used to document and explicate the multifactorial nature of feeding disorders in children with ASD and justify the need for a multidisciplinary approach to issues in this area.

Feeding disorders in children with ASD are linked to multiple sensory, motor, behavioural, nutritional and gastrointestinal comorbidities. A multidisciplinary approach is needed and increasingly recommended. However, multidisciplinary teams, specialised in the care of children with ASD and feeding issues, continue to be difficult to locate and access for families. The authors sought to highlight the signs of feeding problems in children with ASD from different domains and share a model of a multidisciplinary approach that can lead to more successful interventions.

The detailed description of the domains linked to feeding issues and the clinical descriptions provided throughout the paper create a roadmap for other clinicians aiming to set up similar teams.

Currently, negotiation on global carbon emissions reduction is very difficult owing to lack of international willingness. In response, geoengineering (climate engineering) strategies are proposed to artificially cool the planet. Meanwhile, as the harbor around one-third of all described marine species, coral reefs are the most sensitive ecosystem on the planet to climate change. However, until now, there is no quantitative assessment on the impacts of geoengineering on coral reefs. This study aims to model the impacts of stratospheric aerosol geoengineering on coral reefs.

The HadGEM2-ES climate model is used to model and evaluate the impacts of stratospheric aerosol geoengineering on coral reefs.

This study shows that (1) stratospheric aerosol geoengineering could significantly mitigate future coral bleaching throughout the Caribbean Sea; (2) Changes in downward solar irradiation, sea level rise and sea surface temperature caused by geoengineering implementation should have very little impacts on coral reefs; (3) Although geoengineering would prolong the return period of future hurricanes, this may still be too short to ensure coral recruitment and survival after hurricane damage.

This is the first time internationally to quantitatively assess the impacts of geoengineering on coral reefs.