Surface structure on abandoned upland blanket peatland tracks

Temporary permissions are often granted for track use on peatlands. However, even when peatland track designs attempt to minimise environmental impacts via use of mesh systems, such linear disturbances may have persistent impacts. We evaluated the surface peatland structure of five abandoned tracks (four with a mesh surface, one unsurfaced) with varying past usage frequencies, at an upland site in northern England. Simplification of the surface nanotopography was found on all tracks compared to surrounding control areas, with increased micro-erosion patterns in rutted areas, and invasive species on some treatments. The frequency of previous usage was not found to be a significant factor controlling nano-topographic loss. Edge effects and hillslope position were influential in places, but these effects were not consistent across treatments. Nano-topographic recovery was found to be inhibited when track usage commenced within a short time frame after track construction. Mesh tracks appear to create a spatial constraint leading to poor development of plants and a reduced ability to form characteristic structures which are integral to mire function

Blanket bogs exhibit significant alterations to physical properties as a result of temporary track removal or abandonment

Temporarily consented tracks made from high-density polyethylene (HDPE) mesh have been used to mitigate both the physical and ecological impacts on peatlands from low-frequency vehicle usage. However, the impacts of mesh track removal or abandonment at the end of the consented period remain poorly understood. Over a 2-year period, we studied replicate sections of abandoned mesh track which, at the start of the experiment, had been unused for approximately 5 years, on a UK blanket bog. Some sections were removed (using two treatment methods – vegetation mown and unprepared), whereas others were left in situ. Metrics were compared both between treatments and to undisturbed reference areas. Significant differences in surface soil moisture were found between abandoned and removed tracks depending on season. Control areas had higher volumetric soil moisture than track locations. Compaction was significantly higher across all track locations in comparison to controls (p < 0.001), but rarefaction was not recorded post-removal, suggesting long-term deformation. Overland flow events were recorded in rut sections for a mean of 16% of the time, compared to <1% in control areas. Sediment traps on the tracks collected 0.406 kg compared to 0.0048 kg from the control traps, equating to a per trap value of 7.3 g from track samplers and 0.17 g from control samplers. Erosion and desiccation features occurred on both removed and abandoned track sections. Both abandonment and removal of mesh tracks have a wide range of impacts on the physical properties of peatlands, suggesting that only where access is a necessity should such a track be installed

Removal of mesh track on an upland blanket peatland leads to changes in vegetation composition and structure

Mesh tracks on peatlands are often granted permits on a temporary basis under the presumption that the tracks are either removed at the end of their permitted use or remain unused in situ. However, the fragility of peatland habitats and poor resilience of the specialist plant communities within them, mean that these linear disturbances may persist post-abandonment or post-removal. We removed sections of mesh track, abandoned five years earlier, from a blanket peatland using two different removal treatment methods (mown and unprepared) and studied a third treatment with sections left in place over a period of 19 months. On abandoned tracks, invasive species including Campylopus introflexus and Deschampsia flexulosa had established, while track removal led to extensive loss of Sphagnum species. Loss of surficial nanotopographic vegetation structures during track removal was extensive, and micro-erosion features were prevalent in both removal treatments. Abandoned sections of track performed comparably better across all metrics than removed sections. However, similarity between the vegetation assemblage of the abandoned track and the controls was <40% at the study outset, with NMDS (Non-metric Multidimensional Scaling) highlighting divergences. There was a mean species loss of 5 per quadrat for the removed sections. Bare peat was present in 52% of all track quadrats by the finish of the study. Our findings suggest that mesh tracks left in situ and track removal both present significant barriers to recovery and additional conservation interventions may be required after peatland tracks are abandoned

Surface structure on abandoned upland blanket peatland tracks

Temporary permissions are often granted for track use on peatlands. However, even when peatland track designs attempt to minimise environmental impacts via use of mesh systems, such linear disturbances may have persistent impacts. We evaluated the surface peatland structure of five abandoned tracks (four with a mesh surface, one unsurfaced) with varying past usage frequencies, at an upland site in northern England. Simplification of the surface nanotopography was found on all tracks compared to surrounding control areas, with increased micro-erosion patterns in rutted areas, and invasive species on some treatments. The frequency of previous usage was not found to be a significant factor controlling nano-topographic loss. Edge effects and hillslope position were influential in places, but these effects were not consistent across treatments. Nano-topographic recovery was found to be inhibited when track usage commenced within a short time frame after track construction. Mesh tracks appear to create a spatial constraint leading to poor development of plants and a reduced ability to form characteristic structures which are integral to mire function

Blanket bogs exhibit significant alterations to physical properties as a result of temporary track removal or abandonment

Temporarily consented tracks made from high-density polyethylene (HDPE) mesh have been used to mitigate both the physical and ecological impacts on peatlands from low-frequency vehicle usage. However, the impacts of mesh track removal or abandonment at the end of the consented period remain poorly understood. Over a 2-year period, we studied replicate sections of abandoned mesh track which, at the start of the experiment, had been unused for approximately 5 years, on a UK blanket bog. Some sections were removed (using two treatment methods – vegetation mown and unprepared), whereas others were left in situ. Metrics were compared both between treatments and to undisturbed reference areas. Significant differences in surface soil moisture were found between abandoned and removed tracks depending on season. Control areas had higher volumetric soil moisture than track locations. Compaction was significantly higher across all track locations in comparison to controls (p < 0.001), but rarefaction was not recorded post-removal, suggesting long-term deformation. Overland flow events were recorded in rut sections for a mean of 16% of the time, compared to <1% in control areas. Sediment traps on the tracks collected 0.406 kg compared to 0.0048 kg from the control traps, equating to a per trap value of 7.3 g from track samplers and 0.17 g from control samplers. Erosion and desiccation features occurred on both removed and abandoned track sections. Both abandonment and removal of mesh tracks have a wide range of impacts on the physical properties of peatlands, suggesting that only where access is a necessity should such a track be installed

Scaling-up food policies in the Pacific Islands: protocol for policy engagement and mixed methods evaluation of intervention implementation

Background: There is a crisis of non-communicable diseases (NCDs) in the Pacific Islands, and poor diets are a major contributor. The COVID-19 pandemic and resulting economic crisis will likely further exacerbate the burden on food systems. Pacific Island leaders have adopted a range of food policies and regulations to improve diets. This includes taxes and regulations on compositional standards for salt and sugar in foods or school food policies. Despite increasing evidence for the effectiveness of such policies globally, there is a lack of local context-specific evidence about how to implement them effectively in the Pacific. Methods: Our 5-year collaborative project will test the feasibility and effectiveness of policy interventions to reduce salt and sugar consumption in Fiji and Samoa, and examine factors that support sustained implementation. We will engage government agencies and civil society in Fiji and Samoa, to support the design, implementation and monitoring of evidence-informed interventions. Specific objectives are to: (1) conduct policy landscape analysis to understand potential opportunities and challenges to strengthen policies for prevention of diet-related NCDs in Fiji and Samoa; (2) conduct repeat cross sectional surveys to measure dietary intake, food sources and diet-related biomarkers; (3) use Systems Thinking in Community Knowledge Exchange (STICKE) to strengthen implementation of policies to reduce salt and sugar consumption; (4) evaluate the impact, process and cost effectiveness of implementing these policies. Quantitative and qualitative data on outcomes and process will be analysed to assess impact and support scale-up of future interventions. Discussion: The project will provide new evidence to support policy making, as well as developing a low-cost, high-tech, sustainable, scalable system for monitoring food consumption, the food supply and health-related outcomes

Acute safety, effectiveness, and real-world clinical usage of ultra-high density mapping for ablation of cardiac arrhythmias: results of the TRUE HD study

AIMS: The objective of this study was to verify acute safety, performance, and usage of a novel ultra-high density mapping system in patients undergoing ablation procedure in a real-world clinical setting. METHODS AND RESULTS: The TRUE HD study enrolled patients undergoing catheter ablation with mapping for all arrhythmias (excluding de novo atrial fibrillation) who were followed for 1 month. Safety was determined by collecting all serious adverse events and adverse events associated with the study devices. Performance was determined as the composite of: ability to map the arrhythmia/substrate, complete the ablation applications, arrhythmia termination (where applicable), and ablation validation. Use of mapping system in the ablation validation workflow was also evaluated. Among the 519 patients who underwent a complete (504) or attempted (15) procedure, 21 (4%) serious ablation-related complications were collected, with 3 (0.57%) potentially related to the mapping catheter. Four hundred and twenty treated patients resulted in a successful procedure confirmed by arrhythmia-specific validation techniques (83.3%; 95% confidence interval: 79.8-86.5%). A total of 1419 electroanatomical maps were created with a median acquisition time of 9:23 min per map. Of these, 372 maps in 222 (44%) patients were collected for ablation validation purposes. Following validation mapping, 162/222 (73%) patients required additional ablation. CONCLUSION: In the TRUE HD study mapping was associated with rates of acute success and complications consistent with previously published reports. Importantly, a low percentage of events (0.57%) was attributed to the mapping catheter. When performed, validation mapping was useful for identifying additional targets for ablation in the majority of patients

Psychiatric intensive care units: A literature review

Background: Psychiatric Intensive Care Units (PICU) have been part of most inpatient psychiatric services for some time, however information about their functioning and outcome has not previously been collated. Aim: To conduct a systematic literature review to assess the current state of knowledge about such services. Method: A search of electronic databases was undertaken, followed by obtaining additional references from items obtained. Results: Over 50 papers in English containing some empirical data were identified. Most studies were retrospective. Typical PICU patients are: male; younger; single; unemployed; suffering from schizophrenia or mania; from a black Caribbean or African background; legally detained; with a forensic history. The most common reason for admission is for aggression management, and most patients stay a week or less. Evidence of the efficacy of PICU care is very poor. Conclusions: Most research so far has been small scale, and more substantial work using better methodologies is clearly required

Positive predictive value of automated database records for diabetic ketoacidosis (DKA) in children and youth exposed to antipsychotic drugs or control medications: a tennessee medicaid study

<p>Abstract</p> <p>Background</p> <p>Diabetic ketoacidosis (DKA) is a potentially life-threatening complication of treatment with some atypical antipsychotic drugs in children and <b>youth</b>. Because drug-associated DKA is rare, large automated health outcomes databases may be a valuable data source for conducting pharmacoepidemiologic studies of DKA associated with exposure to individual antipsychotic drugs. However, no validated computer case definition of DKA exists. We sought to assess the positive predictive value (PPV) of a computer case definition to detect incident cases of DKA, using automated records of Tennessee Medicaid as the data source and medical record confirmation as a "gold standard."</p> <p>Methods</p> <p>The computer case definition of DKA was developed from a retrospective cohort study of antipsychotic-related type 2 diabetes mellitus (1996-2007) in Tennessee Medicaid enrollees, aged 6-24 years. Thirty potential cases with any DKA diagnosis (ICD-9 250.1, ICD-10 E1x.1) were identified from inpatient encounter claims. Medical records were reviewed to determine if they met the clinical definition of DKA.</p> <p>Results</p> <p>Of 30 potential cases, 27 (90%) were successfully abstracted and adjudicated. Of these, 24 cases were confirmed by medical record review (PPV 88.9%, 95% CI 71.9 to 96.1%). Three non-confirmed cases presented acutely with severe hyperglycemia, but had no evidence of acidosis.</p> <p>Conclusions</p> <p>Diabetic ketoacidosis in children and youth can be identified in a computerized Medicaid database using our case definition, which could be useful for automated database studies in which drug-associated DKA is the outcome of interest.</p

The Effect of Insecticide Synergists on the Response of Scabies Mites to Pyrethroid Acaricides

Synergists are commonly used in combination with pesticides to suppress metabolism-based resistance and increase the efficacy of the agents. They are also useful as tools for laboratory investigation of specific resistance mechanisms based on their ability to inhibit specific metabolic pathways. To determine the role of metabolic degradation as a mechanism for acaricide resistance in human scabies, PBO (piperonyl butoxide), DEF (S,S,S-tributyl phosphorotrithioate) and DEM (diethyl maleate) were used with permethrin as synergists in a bioassay of mite killing. A statistically significant difference in survival time of permethrin-resistant Sarcoptes scabiei variety canis was noted when any of the three synergists were used in combination with permethrin compared to survival time of mites exposed to permethrin alone (p<0.0001). These results indicate the potential utility of synergists in reversing tolerance to pyrethroid-based acaricides (i.e. the addition of synergists to permethrin-containing topical acaricide cream commonly used to treat scabies). To further verify specific metabolic pathways being inhibited by these synergists, enzyme assays were developed to measure esterase, glutathione S-transferase (GST) and cytochrome P450 monooxygenase activity in scabies mites. Results of in vitro enzyme inhibition experiments showed lower levels of esterase activity with DEF; lower levels of GST activity with DEM and lower levels of cytochrome monooxygenase activity with PBO. These findings indicate a metabolic mechanism as mediating pyrethroid resistance in scabies mites