Pollination services in the UK: how important are honeybees?

Pollination services are known to provide substantial benefits to human populations and agriculture in particular. Although many species are known to provide pollination services, honeybees (Apis mellifera) are often assumed to provide the majority of these services to agriculture. Using data from a range of secondary sources, this study assesses the importance of insect pollinated crops at regional and national scales and investigates the capacity of honeybees to provide optimal pollination services to UK agriculture. The findings indicate that insect pollinated crops have become increasingly important in UK crop agriculture and, as of 2007, accounted for 20% of UK cropland and 19% of total farmgate crop value. Analysis of honeybee hive numbers indicates that current UK populations are only capable of supplying 34% of pollination service demands even under favourable assumptions, falling from 70% in 1984. In spite of this decline, insect pollinated crop yields have risen by an average of 54% since 1984, casting doubt on long held beliefs that honeybees provide the majority of pollination services. Future land use and crop production patterns may further increase the role of pollination services to UK agriculture, highlighting the importance of measures aimed at maintaining both wild and managed species

A new ERA? Electronic records in ambulances: a research programme.

In order to support the continued shift to out of hospital care, ambulance clinicians need to be able to decide which patients will benefit from being left at home, refer to alternative care providers, and ensure that appropriate patient information is passed on to them. Technology can help in a number of ways. Firstly, apps and referral tools can aid decision-making at the scene. Secondly, technology can facilitate the transfer of patient information to ambulance clinicians at the scene or even before arrival, e.g. by sharing information on past contacts with a GP, or on a DNACPR directive. Thirdly, it can support real time remote sharing of information so that, for example, an ED consultant can advise about the appropriate conveyance and care decisions while the patient is still at home. Fourthly, it can support the easy transfer of patient information to other care providers like GPs. Finally, electronic records can make data more readily available for audit, research and evaluation (Morrison et al., 2014). Data can be used in future research to inform service improvements, as well as providing ambulance services with a valuable store of information to run automated clinical and management reports, as well as defending against medico-legal action

Economic valuation of natural pest control of the summer grain aphid in wheat in South East England

Wheat (Triticum spp.) is the most important arable crop grown in the UK, and the grain aphid (Sitobion avenae) is one of the key pests of this crop. Natural enemies could help suppress grain aphid and reduce unnecessary insecticide inputs, but few studies have estimated the economic value of natural pest control in this crop-pest system, which could help inform effective integrated pest management strategies. Based on a natural enemy exclusion experiment carried out in South East England, this study used an economic surplus model to estimate the value of predators and parasitoids to control summer grain aphid in wheat in this region. Incorporating three levels of spray intensity and three levels of pest infestation, the annual economic value of natural pest control service was conservatively estimated to be £0-2.3 Million. Under the medium pest infestation level, a 10% increase in the proportion of wheat fields using economic threshold-based spray method would increase this value by 23% (£0.4 Million). 71% of the value would benefit wheat growers. A potential rise in insecticide costs due to resistance development would also enhance the value of natural pest control. These findings support growing efforts from policy-makers to promote this ecosystem service in agriculture

Moving epidemic method (MEM) applied to virology data as a novel real time tool to predict peak in seasonal influenza healthcare utilisation. The Scottish experience of the 2017/18 season to date

Scotland observed an unusual influenza A(H3N2)- dominated 2017/18 influenza season with healthcare services under significant pressure. We report the application of the moving epidemic method (MEM) to virology data as a tool to predict the influenza peak activity period and peak week of swab positivity in the current season. This novel MEM application has been successful locally and is believed to be of potential use to other countries for healthcare planning and building wider community resilience

Arthropod pest control for UK oilseed rape – Comparing insecticide efficacies, side effects and alternatives

Oilseed rape (Brassica napus) is an important combinable break crop in the UK, which is largely protected from arthropod pests by insecticidal chemicals. Despite ongoing debate regarding the use of neonicotinoids, the dominant seed treatment ingredients used for this crop, there is little publicly available data comparing the efficacy of insecticides in controlling key arthropod pests or comparing the impacts on non-target species and the wider environment. To provide an insight into these matters, a UK-wide expert survey targeting agronomists and entomologists was conducted from March to June 2015. Based on the opinions of 90 respondents, an average of 20% yield loss caused by the key arthropod pests was expected to have occurred in the absence of insecticide treatments. Relatively older chemical groups were perceived to have lower efficacy for target pests than newer ones, partly due to the development of insecticide resistance. Without neonicotinoid seed treatments, a lack of good control for cabbage stem flea beetle was perceived. Wide spectrum foliar insecticide sprays were perceived to have significantly greater negative impacts than seed treatments on users' health, natural enemies, pollinators, soil and water, and many foliar active ingredients have had potential risks for non-target arthropod species in UK oilseed rape fields for the past 25 years. Overall, 72% of respondents opposed the neonicotinoid restriction, while 10% supported it. Opposition and support of the restriction were largely based on concerns for pollinators and the wider environment, highlighting the uncertainty over the side effects of neonicotinoid use. More people from the government and research institutes leaned towards neutrality over the issue, compared to those directly involved in growing the crop. Neonicotinoid restriction was expected to result in greater effort and expenditure on pest control and lower production (0–1 t/ha less). Alternatives for future oilseed rape protection were then discussed

The Development of a Patient-Reported Outcome Measure for Assessment of Genital Psoriasis Symptoms: The Genital Psoriasis Symptoms Scale (GPSS)

INTRODUCTION: Patient-reported outcome measures (PROs) specific for genital psoriasis (GenPs) have not been described. METHODS: In this cross-sectional, qualitative study in patients with moderate-to-severe GenPs, we sought to develop a PRO useful for GenPs symptom assessment. A literature review was performed to identify relevant psoriasis or GenPs symptoms and existing PROs that may be useful in the evaluation of symptom severity in GenPs patients. The literature review findings were discussed with clinicians, and then patients with GenPs. RESULTS: Relevant psoriasis or GenPs symptoms from the literature review included itch, pain, scaling, redness/erythema, and stinging/burning. The validity of these symptoms for GenPs and potentially relevant PROs was corroborated by clinical experts. After gap analysis, a draft symptom scale consisting of Numeric Rating Scale (NRS) items was constructed. We then conducted interviews with GenPs patients (n = 20) to support content validity and use of the draft symptom NRS items in routine practice and in clinical trials. Participants identified and confirmed relevant symptoms and evaluated the utility of the draft PRO. A new PRO was developed: the Genital Psoriasis Symptoms Scale (GPSS). Cognitive debriefing and cultural adaptation/translation interviews with a second group of patients confirmed cultural appropriateness of the GPSS. CONCLUSION: The GPSS may be useful for assessing symptoms before, during, and after treatment in routine clinical practice and in clinical trials involving patients with GenPs. FUNDING: Eli Lilly & Company. Plain language summary available for this article

The Development of the Genital Psoriasis Sexual Frequency Questionnaire (GenPs-SFQ) to Assess the Impact of Genital Psoriasis on Sexual Health

INTRODUCTION: Patient-reported outcome measures (PROs) exist for psoriasis but not genital psoriasis (GenPs). METHODS: This cross-sectional, qualitative study in patients with moderate-to-severe GenPs was conducted to support development of a PRO for measuring the impact of GenPs on sexual activity and to establish content validity. The impacts of GenPs were identified in a literature review. Findings from the literature review were discussed with clinicians, and then patients with GenPs were interviewed. RESULTS: From the literature review, 52 articles, 44 abstracts, and 41 clinical trials met predefined search criteria. Of these, 11 concepts emerged as having theoretical support for use as measurable impacts of psoriasis symptoms on patients; these concepts included sexual functioning and general health-related quality of life (HRQoL). These concepts were confirmed and expanded upon by two clinicians who routinely care for patients with GenPs. Interviews were then conducted with GenPs patients (n = 20) to discuss the impact of GenPs on their HRQoL. Eighty percent of patients reported that GenPs impacted sexual frequency. The two-item GenPs Sexual Frequency Questionnaire (GenPs-SFQ) was developed to assess limitations on sexual activity frequency because of GenPs. Cognitive debriefing with an additional 50 patients with GenPs confirmed the utility and understandability of the GenPs-SFQ. CONCLUSION: The GenPs-SFQ may have utility in clinical trials involving GenPs patients and in routine clinical practice. FUNDING: Eli Lilly and Company. Plain language summary available for this article

Traditional and cover crop-derived mulches enhance soil ecosystem services in apple orchards

Organic mulches are a traditional method of groundcover management in temperate commercial orchards, now largely replaced by herbicides and synthetic fertilisers. As a potential contribution to improving orchard sustainability, we hypothesised that the addition of organic mulches would: (H1) improve soil fertility and lead to greater tree growth and yields; (H2) support a larger and more biologically active community of soil organisms, assessed as increased soil respiration and greater earthworm numbers and biomass; and (H3) increase leaf litter decomposition and burial, potentially reducing the risk of apple scab disease (Venturia inaequalis). Cuttings from two legume-based cover crop mixtures grown in the alleyway spaces between tree rows and two traditional mulch materials, straw and compost, were trialled alongside a bare soil business-as-usual control for two years, using a randomized complete block design in a conventionally managed commercial ‘Gala’ apple orchard in the UK. Compared to the control, the compost mulch significantly increased both soil carbon and nitrogen by over 50 %. The straw mulch effectively suppressed weeds by about 90 % and increased soil moisture by about 5 %. Cover crop cuttings increased moisture levels and increased earthworm numbers and mass by 1.7 and 1.8 times greater respectively in the double-rate ‘legume-grass’ cuttings treatment. Increasing the quantity of cover crop cuttings produced more positive effects; the cumulative addition of cuttings can benefit several soil-derived ecosystem services. This study took place in a commercial apple orchard, the findings may therefore be applicable to other orchard and row-grown perennial crops

Traditional and cover crop-derived mulches enhance soil ecosystem services in apple orchards

Organic mulches are a traditional method of groundcover management in temperate commercial orchards, now largely replaced by herbicides and synthetic fertilisers. As a potential contribution to improving orchard sustainability, we hypothesised that the addition of organic mulches would: (H1) improve soil fertility and lead to greater tree growth and yields; (H2) support a larger and more biologically active community of soil organisms, assessed as increased soil respiration and greater earthworm numbers and biomass; and (H3) increase leaf litter decomposition and burial, potentially reducing the risk of apple scab disease (Venturia inaequalis). Cuttings from two legume-based cover crop mixtures grown in the alleyway spaces between tree rows and two traditional mulch materials, straw and compost, were trialled alongside a bare soil business-as-usual control for two years, using a randomized complete block design in a conventionally managed commercial ‘Gala’ apple orchard in the UK. Compared to the control, the compost mulch significantly increased both soil carbon and nitrogen by over 50 %. The straw mulch effectively suppressed weeds by about 90 % and increased soil moisture by about 5 %. Cover crop cuttings increased moisture levels and increased earthworm numbers and mass by 1.7 and 1.8 times greater respectively in the double-rate ‘legume-grass’ cuttings treatment. Increasing the quantity of cover crop cuttings produced more positive effects; the cumulative addition of cuttings can benefit several soil-derived ecosystem services. This study took place in a commercial apple orchard, the findings may therefore be applicable to other orchard and row-grown perennial crops