Dry eye disease

This issue of eMedRef provides information to clinicians on the pathophysiology, diagnosis, and therapeutics of dry eye disease

Estimation of gross land-use change and its uncertainty using a Bayesian data assimilation approach

We present a method for estimating land-use change using a Bayesian data assimilation approach. The approach provides a general framework for combining multiple disparate data sources with a simple model. This allows us to constrain estimates of gross land-use change with reliable national-scale census data, whilst retaining the detailed information available from several other sources. Eight different data sources, with three different data structures, were combined in our posterior estimate of land use and land-use change, and other data sources could easily be added in future. The tendency for observations to underestimate gross land-use change is accounted for by allowing for a skewed distribution in the likelihood function. The data structure produced has high temporal and spatial resolution, and is appropriate for dynamic process-based modelling. Uncertainty is propagated appropriately into the output, so we have a full posterior distribution of output and parameters. The data are available in the widely used netCDF file format from http://eidc.ceh.ac.uk/

Systematic Review and Meta-Analysis of Statin Use and Mortality, Intensive Care Unit Admission and Requirement for Mechanical Ventilation in COVID-19 Patients

There is mounting evidence that statin use is beneficial for COVID-19 outcomes. We performed a systematic review and meta-analysis to evaluate the association between statin use and mortality, intensive care unit (ICU) admission and mechanical ventilation in COVID-19 patients, on studies which provided covariate adjusted effect estimates, or performed propensity score matching. We searched PubMed, Embase, Web of Science and Scopus for studies and extracted odds or hazard ratios for specified outcome measures. Data synthesis was performed using a random-effects inverse variance method. Risk of bias, heterogeneity and publication bias were analyzed using standard methods. Our results show that statin use was associated with significant reductions in mortality (OR = 0.72, 95% CI: 0.67–0.77; HR = 0.74, 95% CI: 0.69, 0.79), ICU admission (OR = 0.94, 95% CI: 0.89–0.99; HR = 0.76, 95% CI: 0.60–0.96) and mechanical ventilation (OR = 0.84, 95% CI: 0.78–0.92; HR = 0.67, 95% CI: 0.47–0.97). Nevertheless, current retrospective studies are based on the antecedent use of statins prior to infection and/or continued use of statin after hospital admission. The results may not apply to the de novo commencement of statin treatment after developing COVID-19 infection. Prospective studies are lacking and necessary

Satellite Retrievals of Karenia brevis Harmful Algal Blooms in the West Florida Shelf Using Neural Networks and Comparisons with Other Techniques

We describe the application of a Neural Network (NN) previously developed by us, to the detection and tracking, of Karenia brevis Harmful Algal Blooms (KB HABs) that plague the coasts of the West Florida Shelf (WFS) using Visible Infrared Imaging Radiometer Suite (VIIRS) satellite observations. Previous approaches for the detection of KB HABs in the WFS primarily used observations from the Moderate Resolution Imaging Spectroradiometer Aqua (MODIS-A) satellite. They depended on the remote sensing reflectance signal at the 678 nm chlorophyll fluorescence band (Rrs678) needed for both the normalized fluorescence height (nFLH) and Red Band Difference algorithms (RBD) currently used. VIIRS which has replaced MODIS-A, unfortunately does not have a 678 nm fluorescence channel so we customized the NN approach to retrieve phytoplankton absorption at 443 nm (aph443) using only Rrs measurements from existing VIIRS channels at 486, 551 and 671 nm. The aph443 values in these retrieved VIIRS images, can in turn be correlated to chlorophyll-a concentrations [Chla] and KB cell counts. To retrieve KB values, the VIIRS NN retrieved aph443 images are filtered by applying limiting constraints, defined by (i) low backscatter at Rrs 551 nm and (ii) a minimum aph443 value known to be associated with KB HABs in the WFS. The resulting filtered residual images, are then used to delineate and quantify the existing KB HABs. Comparisons with KB HABs satellite retrievals obtained using other techniques, including nFLH, as well as with in situ measurements reported over a four year period, confirm the viability of the NN technique, when combined with the filtering constraints devised, for effective detection of KB HABs

Mapping greenhouse gas emissions & removals for the land use, land-use change & forestry sector. A report of the National Atmospheric Emissions Inventory 1990-2021

Prepared by the UK Centre for Ecology & Hydrology for the Department for Energy Security and Net Zero. This report describes the method used to spatially disaggregate the emissions and removals in the Land Use, Land-Use Change and Forestry (LULUCF) sector to enable the compilation of LULUCF estimates for Local Authorities (LAs) as part of the Department for Energy Security and Net Zero's assistance to LAs in tracking progress on decarbonisation

Nutrient fluxes from domestic wastewater: a national-scale historical perspective for the UK 1800–2010

Nutrient emissions in human waste and wastewater effluent fluxes from domestic sources are quantified for the UK over the period 1800-2010 based on population data from UK Census returns. The most important drivers of change have been the introduction of the water closet (flush toilet) along with population growth, urbanisation, connection to sewer, improvements in wastewater treatment and use of phosphorus in detergents. In 1800, the population of the UK was about 12 million and estimated emissions in human waste were 37 kt N, 6.2 kt P and 205 kt organic C per year. This would have been recycled to land with little or no sewage going directly to rivers or coastal waters. By 1900, population had increased to 35.6 million and some 145 kt N were emitted in human waste but, with only the major urban areas connected to sewers, only about 19 kt N were discharged in sewage effluent. With the use of phosphorus in detergents, estimated phosphorus emissions peaked at around 63.5 kt P/year in the 1980s, with about 28 kt P/year being discharged in sewage effluent. By 2010, population had increased to 63 million with estimated emissions of 263 kt N, 43.6 kt P and 1460 kt organic C per year, and an estimated effluent flux of 104kt N, 14.8 kt P and 63 kt organic C. Despite improvements in wastewater treatment, current levels of nutrient fluxes in sewage effluent are substantially higher than those in the early 20th century

Chronic atmospheric reactive N deposition has breached the N sink capacity of a northern ombrotrophic peatbog increasing the gaseous and fluvial N losses

Peatlands play an important role in modulating the climate, mainly through sequestration of carbon dioxide into peat carbon, which depends on the availability of reactive nitrogen (Nr) to mosses. Atmospheric Nr deposition in the UK has been above the critical load for functional and structural changes to peatland mosses, thus threatening to accelerate their succession by vascular plants and increasing the possibility of Nr export to downstream ecosystems. The N balance of peatlands has received comparatively little attention, mainly due to the difficulty in measuring gaseous N losses as well as the Nr inputs due to biological nitrogen fixation (BNF). In this study we have estimated the mean annual N balance of an ombrotrophic bog (Migneint, North Wales) by measuring in situ N2 + N2O gaseous fluxes and also BNF in peat and mosses. Fluvial N export was monitored through a continuous record of DON flux, while atmospheric N deposition was modelled on a 5 × 5 km grid. The mean annual N mass balance was slightly positive (0.7 ± 4.1 kg N ha−1 y−1) and varied interannually indicating the fragile status of this bog ecosystem that has reached N saturation and is prone to becoming a net N source. Gaseous N losses were a major N output term accounting for 70% of the N inputs, mainly in the form of the inert N2 gas, thus providing partial mitigation to the adverse effects of chronic Nr enrichment. BNF was suppressed by 69%, compared to rates in pristine bogs, but was still active, contributing ~2% of the N inputs. The long-term peat N storage rate (8.4 ± 0.8 kg N ha−1 y−1) cannot be met by the measured N mass balance, showing that the bog catchment is losing more N than it can store due its saturated status

Fifty years of reduction in sulphur deposition drives recovery in soil pH and plant communities

1. Sulphur deposition through rainfall has led to species loss and ecosystem degradation globally, and across Europe huge reductions in sulphur emissions since the 1970s were expected to promote the recovery of acidified ecosystems. However, the rate and ecological impact of recovery from acidification in terrestrial ecosystems is still unclear as is the influence of management and climate, as to date there has been no long-term spatially extensive evaluation of these changes. 2. Here, we present data from thousands of sites across Great Britain (pH range 3.3–8.7) surveyed repeatedly from 1978–2019 and assess change in soil pH and plant acidity preference (Ellenberg R) in response to atmospheric deposition of sulphur and nitrogen. We analyse change in grasslands managed for pasture, referred to as high-intensity habitats, and compare to seminatural habitats comprising rough grassland, broadleaved woodland, bog and heathland, referred to as low-intensity habitats. 3. Soil pH increased from 1978 to 2007 but then decreased between 2007 and 2019, resulting in a net increase of ~0.2 pH units in low-intensity habitats but no change in high-intensity habitats. The community average Ellenberg R increased in seminatural habitats by ~0.2 units but remained stable in intensive grasslands. 4. In seminatural habitats, but not intensive grasslands, these changes in plant community composition were associated with the soil pH changes which were in turn linked to decreasing sulphur deposition and differences in rainfall. 5. Nitrogen deposition, which was relatively stable over the survey period, showed no additional effect upon soil acidity once sulphur deposition was accounted for. 6. Synthesis: Our results provide conclusive evidence that reductions in acid emissions are stimulating the gradual recovery of chronically acidified terrestrial ecosystems at a whole-country scale, while also suggesting this recovery is being compromised by changing climate and land management

Truncation of Pik3r1 causes severe insulin resistance uncoupled from obesity and dyslipidaemia by increased energy expenditure.

OBJECTIVE: Insulin signalling via phosphoinositide 3-kinase (PI3K) requires PIK3R1-encoded regulatory subunits. C-terminal PIK3R1 mutations cause SHORT syndrome, as well as lipodystrophy and insulin resistance (IR), surprisingly without fatty liver or metabolic dyslipidaemia. We sought to investigate this discordance. METHODS: The human pathogenic Pik3r1 Y657∗ mutation was knocked into mice by homologous recombination. Growth, body composition, bioenergetic and metabolic profiles were investigated on chow and high-fat diet (HFD). We examined adipose and liver histology, and assessed liver responses to fasting and refeeding transcriptomically. RESULTS: Like humans with SHORT syndrome, Pik3r1WT/Y657∗ mice were small with severe IR, and adipose expansion on HFD was markedly reduced. Also as in humans, plasma lipid concentrations were low, and insulin-stimulated hepatic lipogenesis was not increased despite hyperinsulinemia. At odds with lipodystrophy, however, no adipocyte hypertrophy nor adipose inflammation was found. Liver lipogenic gene expression was not significantly altered, and unbiased transcriptomics showed only minor changes, including evidence of reduced endoplasmic reticulum stress in the fed state and diminished Rictor-dependent transcription on fasting. Increased energy expenditure, which was not explained by hyperglycaemia nor intestinal malabsorption, provided an alternative explanation for the uncoupling of IR from dyslipidaemia. CONCLUSIONS: Pik3r1 dysfunction in mice phenocopies the IR and reduced adiposity without lipotoxicity of human SHORT syndrome. Decreased adiposity may not reflect bona fide lipodystrophy, but rather, increased energy expenditure, and we suggest that further study of brown adipose tissue in both humans and mice is warranted