Actinobacillus pleuropneumoniae serovar 8 predominates in England and Wales

This work was supported by a Longer and Larger (LoLa) grant from the Biotechnology and Biological Sciences Research Council (BBSRC grant numbers BB/G020744/1, BB/G019177/1, BB/G019274/1 and BB/G018553/1) and Zoetis (formerly Pfizer Animal Health) awarded to the Bacterial Respiratory Diseases of Pigs-1 Technology (BRaDP1T) Consortium

Virus infection and grazing exert counteracting influences on survivorship of native bunchgrass seedlings competing with invasive exotics

1.  Invasive annual grasses introduced by European settlers have largely displaced native grassland vegetation in California and now form dense stands that constrain the establishment of native perennial bunchgrass seedlings. Bunchgrass seedlings face additional pressures from both livestock grazing and barley and cereal yellow dwarf viruses (B/CYDVs), which infect both young and established grasses throughout the state. 2.  Previous work suggested that B/CYDVs could mediate apparent competition between invasive exotic grasses and native bunchgrasses in California. 3.  To investigate the potential significance of virus-mediated mortality for early survivorship of bunchgrass seedlings, we compared the separate and combined effects of virus infection, competition and simulated grazing in a field experiment. We infected two species of young bunchgrasses that show different sensitivity to B/CYDV infection, subjected them to competition with three different densities of exotic annuals crossed with two clipping treatments, and monitored their growth and first-year survivorship. 4.  Although virus infection alone did not reduce first-year survivorship, it halved the survivorship of bunchgrasses competing with exotics. Within an environment in which competition strongly reduces seedling survivorship (as in natural grasslands), virus infection therefore has the power to cause additional seedling mortality and alter patterns of establishment. 5.  Surprisingly, clipping did not reduce bunchgrass survivorship further, but rather doubled it and disproportionately increased survivorship of infected bunchgrasses. 6.  Together with previous work, these findings show that B/CYDVs can be potentially powerful elements influencing species interactions in natural grasslands. 7.  More generally, our findings demonstrate the potential significance of multitrophic interactions in virus ecology. Although sometimes treated collectively as plant ‘predators’, viruses and herbivores may exert influences that are distinctly different, even counteracting

Multiorgan MRI findings after hospitalisation with COVID-19 in the UK (C-MORE): a prospective, multicentre, observational cohort study

Introduction: The multiorgan impact of moderate to severe coronavirus infections in the post-acute phase is still poorly understood. We aimed to evaluate the excess burden of multiorgan abnormalities after hospitalisation with COVID-19, evaluate their determinants, and explore associations with patient-related outcome measures. Methods: In a prospective, UK-wide, multicentre MRI follow-up study (C-MORE), adults (aged ≥18 years) discharged from hospital following COVID-19 who were included in Tier 2 of the Post-hospitalisation COVID-19 study (PHOSP-COVID) and contemporary controls with no evidence of previous COVID-19 (SARS-CoV-2 nucleocapsid antibody negative) underwent multiorgan MRI (lungs, heart, brain, liver, and kidneys) with quantitative and qualitative assessment of images and clinical adjudication when relevant. Individuals with end-stage renal failure or contraindications to MRI were excluded. Participants also underwent detailed recording of symptoms, and physiological and biochemical tests. The primary outcome was the excess burden of multiorgan abnormalities (two or more organs) relative to controls, with further adjustments for potential confounders. The C-MORE study is ongoing and is registered with ClinicalTrials.gov, NCT04510025. Findings: Of 2710 participants in Tier 2 of PHOSP-COVID, 531 were recruited across 13 UK-wide C-MORE sites. After exclusions, 259 C-MORE patients (mean age 57 years [SD 12]; 158 [61%] male and 101 [39%] female) who were discharged from hospital with PCR-confirmed or clinically diagnosed COVID-19 between March 1, 2020, and Nov 1, 2021, and 52 non-COVID-19 controls from the community (mean age 49 years [SD 14]; 30 [58%] male and 22 [42%] female) were included in the analysis. Patients were assessed at a median of 5·0 months (IQR 4·2–6·3) after hospital discharge. Compared with non-COVID-19 controls, patients were older, living with more obesity, and had more comorbidities. Multiorgan abnormalities on MRI were more frequent in patients than in controls (157 [61%] of 259 vs 14 [27%] of 52; p5mg/L, OR 3·55 [1·23–11·88]; padjusted=0·025) than those without multiorgan abnormalities. Presence of lung MRI abnormalities was associated with a two-fold higher risk of chest tightness, and multiorgan MRI abnormalities were associated with severe and very severe persistent physical and mental health impairment (PHOSP-COVID symptom clusters) after hospitalisation. Interpretation: After hospitalisation for COVID-19, people are at risk of multiorgan abnormalities in the medium term. Our findings emphasise the need for proactive multidisciplinary care pathways, with the potential for imaging to guide surveillance frequency and therapeutic stratification. Funding: UK Research and Innovation and National Institute for Health Research

Impacts of nitrogen deposition on vascular plants in Britain: an analysis of two national observation networks

Large areas of Great Britain currently have nitrogen (N) deposition at rates which exceed the thresholds above which there is risk of damage to sensitive components of the ecosystem (critical loads). Previous studies have focussed primarily on the relationship of species richness to nitrogen, whereas here we look at individual species. We used data from two national observation networks over Great Britain to examine the response of individual vascular plant species to N in acid grasslands, calcareous grasslands and heathlands. Presence absence records of individual species, along with mean Ellenberg N scores, within 10 km hectads were modelled against N deposition whilst at the same time controlling for the effects of climate, land use and sulphur deposition using generalised additive models. Ellenberg N showed a significant increase with increasing N deposition in almost all habitats across both surveys indicating increased fertility. Many individual species showed strong relationships with N deposition and clear negative trends in species prevalence to increasing nitrogen were found in all habitats. A number of these species were either habitat dominants or possessed traits known to be influential in controlling ecosystem function. Many community dominants showing significant negative relationships with N deposition highlight a potentially significant loss of function. Some species that showed negative relationships to N showed signs of decline at low levels, far below the current critical load levels. Some species also showed continuous changes as N deposition levels rose above the current critical load values. This work contributes to the growing evidence base suggesting species level impacts at low N deposition values

Assessing exercise intensity in cardiac rehabilitation: the use of a Polar heart rate monitor

Objective: To assess the accuracy of a Polar heart rate monitor in measuring heart rate in exercising cardiac rehabilitation patients. Design: Simultaneous heart rate recordings comparing results from the Polar monitor with those from Holter monitoring and intermittent pulse rate as measured by radial artery palpation. Setting: Exercise sessions in a community-based cardiac rehabilitation centre. Patients: Twenty phase III cardiac rehabilitation patients recovering from an acute cardiac event. Main outcome measures: Comparison of heart rates recorded by the two systems and by pulse rate measurement. Results: The Polar monitor gave results very similar to those from Holter monitoring. Intermittent pulse rate measurement gave a limited and less accurate view of the intensity of the exercise session. Conclusion: The Polar heart rate monitor gives accurate readings during cardiac rehabilitation exercise sessions at low cost. It is a useful tool which allows assessment of exercise intensity which is not available from intermittent radial pulse rate measurement.<br/

Temporal trends in hip and knee replacement in the United Kingdom 1991 to 2006

Using the General Practice Research Database, we examined the temporal changes in the rates of primary total hip (THR) and total knee (TKR) replacement, the age at operation and the female-to-male ratio between 1991 and 2006 in the United Kingdom.We identified 27 113 patients with THR and 23 843 with TKR. The rate of performance of THR and TKR had increased significantly (p &lt; 0.0001 for both) during the 16-year period and was greater for TKR, especially in the last five years. The mean age at operation was greater for women than for men and had remained stable throughout the period of study. The female-to-male ratio was higher for THR and TKR and had remained stable. The data support the notion that the rate of joint replacement is increasing in the UnitedKingdom with the rate of TKR rising at the highest rate. The perception that the mean age for TKR has decreased over time is not supported

Interpretation of evidence of nitrogen impacts on vegetation in relation to UK biodiversity objectives

There is evidence of widespread impacts on nitrogen deposition on semi-natural habitats. This project considered the implications of new evidence of nitrogen impacts for both conservation commitments and biodiversity targets, and ecosystem service provision. Large areas of the country exceed the critical load and level for reactive nitrogen (N) pollutants, and are predicted to continue to do so in 2020 despite reductions in emissions of reactive N gases. This project addressed the need to test if this risk is translating to visible change in the wider countryside resulting in broad scale ecological damage which impacts on both conservation commitments and biodiversity targets, and ecosystem service provision. The study was second part of a project to analyse national vegetation data sets in relation to N deposition. The project statistically analysed eight independent national vegetation surveillance datasets using a consistent approach, to identify evidence of N deposition impacts in four habitat types; acidic and calcareous grassland, heathland and bogs. The first part of the project, covering the analysis and the results, is published in JNCC Report 447. In this second part of the project, the results of the new analysis, together with other sources of independent evidence, are interpreted in respect of implications for “conservation commitments”. The results demonstrate effects of nitrogen deposition on habitats through reduced occurrence of a range of plant and lichen species and changes in ecosystem function. These effects have been shown to occur below current critical loads, but effects also continue after critical loads are exceeded. The report highlights that nitrogen deposition is a serious challenge for the conservation of natural habitats and species in the UK, and this has implications for meeting “conservation commitments”. Recommendations are given for improving both site based and broad scale vegetation surveillance schemes. A project summary, presenting the key messages and summarising the impacts, is also provided