Estimation of abrasion on flint shingle beaches in East Sussex, UK.

In situ abrasion of shingle beach material is a neglected area of study in coastal geomorphology, with reduction in beach volumes normally attributed to longshore and offshore drift. Results from field abrasion experiments conducted on flint shingle beaches on the East Sussex coast, southern England, show that in situ reductions in volume of beach material may be more significant than has been thought. Two beaches composed almost entirely of flint shingle were seeded with hard quartzite from a Devon beach and less resistant limestone from a South Wales beach that are readily distinguishable from the flint. The seeding commenced in January 2001. The pebbles, similar in size and shape to the natural flint shingle, were left in the surf zone at two sites. Prior to exposure the pebbles were engraved with a code number and weighed. At regular intervals those that could be re-found were re-weighed and returned to the beach. Abrasion rates were calculated for each pebble as percentage weight loss per tide. By the end of October 2001, more than 700 measurements of abrasion rates had been made from a total of 431 pebbles. Average limestone abrasion rates (0.0266% loss of weight per tide) were three times greater than those of quartzite (0.0082% per tide). Measurable abrasion rates were recorded over just a few tidal cycles, not only in severe wave conditions but also in much calmer weather. The maximum abrasion rates recorded exceeded 1% per tide for limeston

Economic evidence for the prevention and treatment of atopic eczema: a protocol for a systematic review

Background: Eczema, synonymous with atopic eczema or atopic dermatitis, is a chronic skin disease that has a similar impact on health-related quality of life as other chronic diseases. The proposed research aims to provide a comprehensive systematic assessment of the economic evidence base available to inform economic modelling and decision making on interventions to prevent and treat eczema at any stage of the life course. Whilst the Global Resource of Eczema Trials (GREAT) database collects together the effectiveness evidence for eczema there is currently no such systematic resource on the economics of eczema. It is important to gain an overview of the current state of the art of economic methods in the field of eczema in order to strengthen the economic evidence base further. Methods/design: The proposed study is a systematic review of the economic evidence surrounding interventions for the prevention and treatment of eczema. Relevant search terms will be used to search MEDLINE, EMBASE, Database of Abstracts of Reviews of Effects, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, NHS Economic Evaluation Database, Health Technology Assessment, Cumulative Index to Nursing and Allied Health Literature, Econ Lit, Scopus, Cost-Effectiveness Analysis Registry and Web of Science in order to identify relevant evidence. To be eligible for inclusion studies will be primary empirical studies evaluating the cost, utility or full economic evaluation of interventions for preventing or treating eczema. Two reviewers will independently assess studies for eligibility and perform data abstraction. Evidence tables will be produced presenting details of study characteristics, costing methods, outcome methods and quality assessment. The methodological quality of studies will be assessed using accepted checklists. Discussion: The systematic review is being undertaken to identify the type of economic evidence available, summarise the results of the available economic evidence and critically appraise the quality of economic evidence currently available to inform future economic modelling and resource allocation decisions about interventions to prevent or treat eczema. We aim to use the review to offer guidance about how to gather economic evidence in studies of eczema and/or what further research is necessary in order to inform this

Quantifying the contribution of riparian soils to the provision of ecosystem services

Riparian areas, the interface between land and freshwater ecosystems, are considered to play a pivotal role in the supply of regulating, provisioning, cultural and supporting services. Most previous studies, however, have tended to focus on intensive agricultural systems and only on a single ecosystem function. Here, we present the first study which attempts to assess a wide range of ecological processes involved in the provision of the ecosystem service of water quality regulation across a diverse range of riparian typologies. Specifically, we focus on 1) evaluating the spatial variation in riparian soils properties with respect to distance with the river and soil depth in contrasting habitat types; 2) gaining further insights into the underlying mechanisms of pollutant removal (i.e. pesticide sorption/degradation, denitrification, etc.) by riparian soils; and 3) quantify and evaluate how riparian vegetation across different habitat types contribute to the provision of watercourse shading. All the habitats were present within a single large catchment and included: (i) improved grassland, (ii) unimproved (semi-natural) grassland, (iii) broadleaf woodland, (iv) coniferous woodland, and (iv) mountain, heath and bog. Taking all the data together, the riparian soils could be statistically separated by habitat type, providing evidence that they deliver ecosystem services to differing extents. Overall, however, our findings seem to contradict the general assumption that soils in riparian area are different from neighbouring (non-riparian) areas and that they possess extra functionality in terms of ecosystem service provision. Watercourse shading was highly habitat specific and was maximal in forests (ca. 52% shade cover) in comparison to the other habitat types (7–17%). Our data suggest that the functioning of riparian areas in less intensive agricultural areas, such as those studied here, may be broadly predicted from the surrounding land use, however, further research is required to critically test this across a wider range of ecosystems

Delineating and mapping riparian areas for ecosystem service assessment

Riparian buffers, the interface between terrestrial and freshwater ecosystems, have the potential to protect water bodies from land-based pollution, and also for enhancing the delivery of a range of ecosystem services. The UK currently has no defined optimal width or maximum extent of riparian buffers for specific ecosystem services. Here, we present the first study, which attempts to (a) compare and critique different riparian buffer delineation methods and (b) investigate how ecological processes, for example, pollutant removal, nutrient cycling, and water temperature regulation, are affected spatially by proximity to the river and also within a riparian buffer zone. Our results have led to the development of new concepts for riparian delineation based on ecosystem service-specific scenarios. Results from our study suggest that choice of delineation method will influence not only the total area of potential riparian buffers but also the proportion of land cover types included, which in turn will determine their main ecosystem provision. Thus, for some ecological processes (e.g., pollutant removal), a fixed-distance approach will preserve and protect its ecosystem function, whereas for processes such as denitrification, a variable-width buffer will reflect better riparian spatial variability maximizing its ecological value. In summary, riparian delineation within UK habitats should be specific to the particular ecosystem service(s) of interest (e.g., uptake of nutrients and shading), and the effectiveness of the buffer should be ground-truthed to ensure the greatest level of protection

Penetrating keratoplasty versus deep anterior lamellar keratoplasty for treating keratoconus

This is the protocol for a review and there is no abstract. The objectives are as follows: To compare visual outcomes after penetrating keratoplasty and DALK for keratoconus and identify the factors contributing to poor outcomes.National Health and Medical Research Council, Australia

Assessing the impact of tailored biosecurity advice on farmer behaviour and pathogen presence in beef herds in England and Wales

The term ‘biosecurity’ encompasses many measures farmers can take to reduce the risk of pathogen incursion or spread. As the best strategy will vary between settings, veterinarians play an important role in assessing risk and providing advice, but effectiveness requires farmer acceptance and implementation. The aim of this study was to assess the effectiveness of specifically-tailored biosecurity advice packages in reducing endemic pathogen presence on UK beef suckler farms. One hundred and sixteen farms recruited by 10 veterinary practices were followed for three years. Farms were randomly allocated to intervention (receiving specifically-tailored advice, with veterinarians and farmers collaborating to develop an improved biosecurity strategy) or control (receiving general advice) groups. A spreadsheet-based tool was used annually to attribute a score to each farm reflecting risk of entry or spread of bovine viral diarrhoea virus (BVDV), bovine herpesvirus-1 (BHV1), Mycobacterium avium subsp. paratuberculosis (MAP), Leptospira interrogans serovar hardjo (L. hardjo) and Mycobacterium bovis (M. bovis). Objectives of these analyses were to identify evidence of reduction in risk behaviours during the study, as well as evidence of reductions in pathogen presence, as indications of effectiveness. Risk behaviours and pathogen prevalences were examined across study years, and on intervention compared with control farms, using descriptive statistics and multilevel regression. There were significant reductions in risk scores for all five pathogens, regardless of intervention status, in every study year compared with the outset. Animals on intervention farms were significantly less likely than those on control farms to be seropositive for BVDV in years 2 and 3 and for L. hardjo in year 3 of the study. Variations by study year in animal-level odds of seropositivity to BHV1 or MAP were not associated with farm intervention status. All farms had significantly reduced odds of BHV1 seropositivity in year 2 than at the outset. Variations in farm-level MAP seropositivity were not associated with intervention status. There were increased odds of M. bovis on intervention farms compared with control farms at the end of the study. Results suggest a structured annual risk assessment process, conducted as a collaboration between veterinarian and farmer, is valuable in encouraging improved biosecurity practices. There were some indications, but not conclusive evidence, that tailored biosecurity advice packages have potential to reduce pathogen presence. These findings will inform development of a collaborative approach to biosecurity between veterinarians and farmers, including adoption of cost-effective strategies effective across pathogens

Interventions to increase attendance for diabetic retinopathy screening

This is the protocol for a review and there is no abstract. The objectives are as follows: The primary objective of the review is to assess the effectiveness of intervention components that seek to increase attendance for diabetic retinopathy screening in people with type 1 and type 2 diabetes. Secondary objectives: - To use validated taxonomies of QI intervention strategies and behaviour change techniques (BCTs) to code the description of interventions in the included studies and determine whether interventions that include particular QI strategies or component BCTs are more effective in increasing screening attendance; - To explore heterogeneity in effect size within and between studies to identify potential explanatory factors for variability in effect size; - To explore differential effects in subgroups to provide information on how equity of screening attendance could be improved; - To critically appraise and summarise current evidence on the resource use, costs and cost-effectiveness

Spatial zoning of microbial functions and plant-soil nitrogen dynamics across a riparian area in an extensively grazed livestock system

Anthropogenic activities have significantly altered global biogeochemical nitrogen (N) cycling leading to major environmental problems such as freshwater eutrophication, biodiversity loss and enhanced greenhouse gas emissions. The soils in the riparian interface between terrestrial and aquatic ecosystems may prevent excess N from entering freshwaters (e.g. via plant uptake, microbial transformations and denitrification). Although these processes are well documented in intensively managed agroecosystems, our understanding of riparian N removal in semi-natural systems remains poor. Our aim was to assess the spatial zoning of soil microbial communities (PLFA), N cycling gene abundance (archaeal and bacterial amoA, nifH, nirK, nirS, nosZ), N processing rates and plant N uptake across an extensively sheep grazed riparian area. As expected, soil properties differed greatly across the riparian transect, with significant decreases in organic matter, NH4+, carbon (C) and N content closest to the river (10 m), while ammonia oxidising archaea (AOA) increased in abundance towards the river. N2O emissions rates were limited by C and to a lesser extent by N with greater emissions close to the river. Plant uptake of urea-derived 15N was high (ca. 55–70% of that added to the soil) but 30–65% of the N was potentially lost by denitrification or leaching. Percentage recovered also suggests that the spatial patterning of plant and microbial N removal processes are different across the riparian zone. Our study provides novel insights into the underlying mechanisms controlling the spatial variability of N cycling in semi-natural riparian ecosystems