Omnivore population dynamics and trophic behavior

Plant traits can mediate the interactions between plant feeding trophic omnivores and their herbivore prey via density effects and by altering the omnivore’s trophic behavior (plant vs. prey feeding). These bottom-up effects can be important for our mechanistic understanding of omnivory as a stabilizing feature of food-webs, but can also be applied in management for conservation biological control. This thesis investigates how plant nutrient status influence heteropteran omnivore population dynamics and trophic behavior and explores management solutions for conservation biological control that can reduce the risk of leaf beetle outbreaks in willow short rotation coppice. The results provide novel empirical support for the established assumption that plant feeding can decouple omnivores from fluctuations in their prey populations. Plant feeding stabilizes omnivore population dynamics, which may explain why omnivore populations show no numeric response to fluctuations in leaf beetle population densities. The potentially strong omnivore-plant coupling suggests that omnivores can function effectively at low prey densities (contrary to specialist predators) to provide what has been referred to as ‘background level’ control of insect pests. The applied part of the thesis demonstrates that retaining willow refuges to reduce omnivore mortality and stabilize population densities across harvests increase rather than decrease the risk of leaf beetle outbreaks. The results also reveal that willow stands surrounded by landscapes with high proportion open land cover are less likely to experience leaf beetle outbreaks. This outcome was expected partly because of the recorded high and stable densities of heteropteran omnivores on high nutrient status host plants in agriculture dominated landscapes. In addition, the results illustrate that landscape-moderated recolonization after disturbance can change over time and that considering the temporal dynamics of populations may be crucial when designing and evaluating studies at landscape level. In conclusion, this thesis highlights the importance of basic ecological knowledge of predator trophic behavior for developing successful conservation biological control

Predator refuges for conservation biological control in an intermediately disturbed system: the rise and fall of a simple solution

1. Managed systems harvested at intermediate time-scales have advantages over annual short-cycled systems in maintaining top-down control of insect herbivores, and the flexible harvest regimes in these systems provide opportunities for habitat management that can stabilize predator-prey population dynamics across harvests - resulting in reduced risk of pest outbreaks. 2. In a large-scale field experiment, we explored whether retaining refuges, that is preserving parts of the stand to reduce predator mortality, could reduce the risk of pest insect outbreaks in willow short-rotation coppice. Population densities of three omnivorous predator species and three outbreaking herbivorous leaf beetle species were monitored over four years aftercoppice (stem harvest) in eight stands with refuges (treatment) and eight stands without refuges (control). Predation pressure was estimated in years three and four. 3. Contrary to our predictions, leaf beetle densities were higher in stands with refuges and predator densities were higher in stands without refuges. Leaf beetle egg mortality increased with total predator density, but did not differ between stands with and without refuges. 4. These unexpected results can be attributed to interactions between dispersal and patchage. The altered phenology of coppiced stems may have triggered leaf beetle aggregation in refuges and migration from stands without refuges. A behavioural response to resource concentration in retained old patches likely transformed the predator refuge from a ‘source' to a ‘sink'. 5. Synthesis and applications. This study shows that retaining refuges in willow short-rotation coppice to facilitate predator population recovery after harvest can come at the cost of more attractive herbivore habitats - and thus increased pest problems. We conclude that crop refuges in systems with intermediate disturbance regimes pose new challenges for conservation biological control, in particular the need to consider how patch age affects dispersal and recolonization of both pest and predators

Detectability of landscape effects on recolonization increases with regional population density

Variation in population size over time can influence our ability to identify landscape-moderated differences in community assembly. To date, however, most studies at the landscape scale only cover snapshots in time, thereby overlooking the temporal dynamics of populations and communities. In this paper, we present data that illustrate how temporal variation in population density at a regional scale can influence landscape-moderated variation in recolonization and population buildup in disturbed habitat patches. Four common insect species, two omnivores and two herbivores, were monitored over 8years in 10 willow short-rotation coppice bio-energy stands with a four-year disturbance regime (coppice cycle). The population densities in these regularly disturbed stands were compared to densities in 17 undisturbed natural Salix cinerea (grey willow) stands in the same region. A time series approach was used, utilizing the natural variation between years to statistically model recolonization as a function of landscape composition under two different levels of regional density. Landscape composition, i.e. relative amount of forest vs. open agricultural habitats, largely determined the density of re-colonizing populations following willow coppicing in three of the four species. However, the impact of landscape composition was not detectable in years with low regional density. Our results illustrate that landscape-moderated recolonization can change over time and that considering the temporal dynamics of populations may be crucial when designing and evaluating studies at landscape level

Enhanced leaf nitrogen status stabilizes omnivore population density

Plant traits can mediate the strength of interactions between omnivorous predators and their prey through density effects and changes in the omnivores' trophic behavior. In this study, we explored the established assumption that enhanced nutrient status in host plants strengthens the buffering effect of plant feeding for omnivorous predators, i.e., prevents rapid negative population growth during prey density decline and thereby increases and stabilizes omnivore population density. We analyzed 13 years of field data on population densities of a heteropteran omnivore on Salix cinerea stands, arranged along a measured leaf nitrogen gradient and found a 195 % increase in omnivore population density and a 63 % decrease in population variability with an increase in leaf nitrogen status from 26 to 40 mgN x g(-1). We recreated the leaf nitrogen gradient in a greenhouse experiment and found, as expected, that increasing leaf nitrogen status enhanced omnivore performance but reduced per capita prey consumption. Feeding on high nitrogen status host plants can potentially decouple omnivore-prey population dynamics and allow omnivores to persist and function effectively at low prey densities to provide "background level" control of insect herbivores. This long-term effect is expected to outweigh the short-term effect on per capita prey consumption-resulting in a net increase in population predation rates with increasing leaf nitrogen status. Conservation biological control of insect pests that makes use of omnivore background control could, as a result, be manipulated via management of crop nitrogen status

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

The ChoCO-W prospective observational global study: Does COVID-19 increase gangrenous cholecystitis?

BACKGROUND: The incidence of the highly morbid and potentially lethal gangrenous cholecystitis was reportedly increased during the COVID-19 pandemic. The aim of the ChoCO-W study was to compare the clinical findings and outcomes of acute cholecystitis in patients who had COVID-19 disease with those who did not. METHODS: Data were prospectively collected over 6 months (October 1, 2020, to April 30, 2021) with 1-month follow-up. In October 2020, Delta variant of SARS CoV-2 was isolated for the first time. Demographic and clinical data were analyzed and reported according to the STROBE guidelines. Baseline characteristics and clinical outcomes of patients who had COVID-19 were compared with those who did not. RESULTS: A total of 2893 patients, from 42 countries, 218 centers, involved, with a median age of 61.3 (SD: 17.39) years were prospectively enrolled in this study; 1481 (51%) patients were males. One hundred and eighty (6.9%) patients were COVID-19 positive, while 2412 (93.1%) were negative. Concomitant preexisting diseases including cardiovascular diseases (p < 0.0001), diabetes (p < 0.0001), and severe chronic obstructive airway disease (p = 0.005) were significantly more frequent in the COVID-19 group. Markers of sepsis severity including ARDS (p < 0.0001), PIPAS score (p < 0.0001), WSES sepsis score (p < 0.0001), qSOFA (p < 0.0001), and Tokyo classification of severity of acute cholecystitis (p < 0.0001) were significantly higher in the COVID-19 group. The COVID-19 group had significantly higher postoperative complications (32.2% compared with 11.7%, p < 0.0001), longer mean hospital stay (13.21 compared with 6.51 days, p < 0.0001), and mortality rate (13.4% compared with 1.7%, p < 0.0001). The incidence of gangrenous cholecystitis was doubled in the COVID-19 group (40.7% compared with 22.3%). The mean wall thickness of the gallbladder was significantly higher in the COVID-19 group [6.32 (SD: 2.44) mm compared with 5.4 (SD: 3.45) mm; p < 0.0001]. CONCLUSIONS: The incidence of gangrenous cholecystitis is higher in COVID patients compared with non-COVID patients admitted to the emergency department with acute cholecystitis. Gangrenous cholecystitis in COVID patients is associated with high-grade Clavien-Dindo postoperative complications, longer hospital stay and higher mortality rate. The open cholecystectomy rate is higher in COVID compared with non -COVID patients. It is recommended to delay the surgical treatment in COVID patients, when it is possible, to decrease morbidity and mortality rates. COVID-19 infection and gangrenous cholecystistis are not absolute contraindications to perform laparoscopic cholecystectomy, in a case by case evaluation, in expert hands