Recovery of South Australian rabbit populations from the impact of rabbit haemorrhagic disease

Context Recovery of Australian rabbit populations from the impact of rabbit haemorrhagic disease virus (RHDV) contrasts with more prolonged suppression of wild rabbits in Europe, and has been widely discussed in the scientific community, but not yet documented in formal scientific literature. The underlying causes of recovery remain unclear, but resistance to RHDV infection has been reported in laboratory studies of wild-caught rabbits. Aims We document numerical changes in two South Australian wild rabbit populations that were initially suppressed by RHDV, and examine serological data to evaluate several alternative hypotheses for the cause of recovery. Methods Rabbit numbers were assessed from spotlight transect counts and dung mass transects between 1991 and 2011, and age and RHDV antibody sero-prevalence were estimated from rabbits shot in late summer. Key results Rabbit numbers were heavily suppressed by RHDV between 1995 and 2002, then increased 5- to 10-fold between 2003 and 2010. During the period of increase, annual RHDV infection rates remained stable or increased slightly, average age of rabbits remained stable and annual rainfall was below average. Conclusions Rabbit populations recovered but neither avoidance of RHDV infection, gradual accumulation of long-lived RHD-immune rabbits, nor high pasture productivity were contributing factors. This leaves increased annual survival from RHDV infection as the most likely cause of recovery. Implications Previously documented evidence of resistance to RHDV infection may be of little consequence to post-RHD recovery in rabbit numbers, unless the factors that influence the probability of infection also shape the course of infection and affect survival of infected rabbits.

Use of morphological characteristics to define functional groups of predatory fishes in the Celtic Sea

An ecomorphological method was developed, with a focus on predation functions, to define functional groups in the Celtic Sea fish community. Eleven functional traits, measured for 930 individuals from 33 species, led to 11 functional groups. Membership of functional groups was linked to body size and taxonomy. For seven species, there were ontogenetic changes in group membership. When diet composition, expressed as the proportions of different prey types recorded in stomachs, was compared among functional groups, morphology-based predictions accounted for 28-56% of the interindividual variance in prey type. This was larger than the 12-24% of variance that could be explained solely on the basis of body size.

HeartBeat--improving heart attack care

We aimed to save lives by assuring best practice in ST elevation myocardial infarction (STEMI) through initiating the Institute for Healthcare Improvement (IHI) methodology nationally. Following collection of a minimum dataset, annual change in indicators in the five initiating hospitals for the period Oct 2006 - Sept 2009 was assessed by analysing the percentage of patients receiving the eight components of evidenced based care on admission and discharge and in-hospital mortality rate. For 635 patients, performance on seven of the eight indicators of care exceeded 90% annually. Timely reperfusion therapy (thrombolysis, primary percutaneous coronary intervention (PPCI)) improved non-significantly from 68.2% (107 patients) in year 1 to 77.1% (118 patients) in year 3. In-hospital mortality declined significantly from 12.4% (24 deaths) in year 1 to 5% (9 deaths) in year 3. Evidence based STEMI care is followed to a high degree but timely reperfusion and PPCI provision remain a challenge nationally.

Contribution of fish to the marine inorganic carbon cycle

Oceanic production of calcium carbonate is conventionally attributed to marine plankton (coccolithophores and foraminifera). Here we report that marine fish produce precipitated carbonates within their intestines and excrete these at high rates. When combined with estimates of global fish biomass, this suggests that marine fish contribute 3 to 15% of total oceanic carbonate production. Fish carbonates have a higher magnesium content and solubility than traditional sources, yielding faster dissolution with depth. This may explain up to a quarter of the increase in titratable alkalinity within 1000 meters of the ocean surface, a controversial phenomenon that has puzzled oceanographers for decades. We also predict that fish carbonate production may rise in response to future environmental changes in carbon dioxide, and thus become an increasingly important component of the inorganic carbon cycle.

Nematode community dynamics over an annual production cycle in the central North Sea

Nematode species composition, trophic structure and body size distributions were followed over an annual production cycle in the central North Sea; to test responses to temporally changing food quality and quantity in the sediment. Changes in the phytoplankton concentration in the water column were quantitatively reflected in the concentration of chlorophyll a and breakdown products in the sediment, with higher concentrations in spring and autumn following blooms, and lower concentrations in summer and winter. The taxonomic and trophic structure of nematode communities differed significantly among stations over relatively short distances, potentially masking some of the temporal dynamics. Spatio-temporal differences in nematode species composition were linked to changes in the quality and quantity of organic material reaching the seabed, reflecting a species-specific response to the nutritional quality of sedimenting organic material and the biochemical changes in the sediment associated with its decomposition. The size distributions of selected nematode species indicated that most species bred continuously throughout the sampling period, although one species, the epigrowth feeder Spilophorella paradoxa, had periods of increased growth following the deposition of the spring phytoplankton bloom. There was no consistent temporal relationship between the trophic composition of nematode communities and spring chlorophyll a or carbon sedimentation, most likely a result of the trophic plasticity of most feeding types and the capacity of the community to use both freshly sedimented material as well as the subsequent breakdown products and refractory organic matter. Community metrics implied that there were small responses to the seasonal production cycle, but these belied strong responses of a few species with life histories that allowed them to track the availability of suitable food resources.

Ecology of the Honey possum, Tarsipes rostratus, in Scott National Park, Western Australia

The Honey possum, Tarsipes rostratus, is an obligate nectarivore, known to feed on plant species from only three Families in south-western Western Australia: Myrtaceae, Proteaceae and Epacridaceae. These plants can be adversely affected by fire, decreased rainfall or groundwater levels and the pathogen Phytophthora cinnamomi. We investigated the ecology of T. rostratus in terms of: (i) how the population fluctuated in response to rainfall and fire over a 20-year period and (ii) changes in diet and movements during a period of decreased food availability in late summer. Mean capture rates were significantly positively correlated with mean flowering rates of Banksia ilicifolia over a 20-year period. Winter capture rates were also significantly positively correlated with both annual and winter rainfall two years prior to trapping in recently burnt areas, but not in long unburnt� areas. Capture rates were significantly higher in unburnt Banksia woodland during winter but densities there have declined since 1996, associated with the death of many Banksia ilicifolia trees from persistent Phytophthora infection. Notwithstanding this decline, winter capture rates in the unburnt areas were still approximately double those in the burnt areas 6 years after the last fire. Short-term capture rates were negatively correlated with barometric pressure, showing that movement and foraging is stimulated by the passage of low pressure frontal weather systems. Despite the paucity of known food sources flowering in late summer and autumn, there was no evidence of T. rostratus using plant species from other than the three above-noted Families. Utilisation areas in summer were also no larger than those previously recorded across all seasons in Scott National Park. Some individuals, however, moved extensive distances to locate spatially restricted food sources. The conservatism of their diet and the sensitivity of the population to changes in rainfall and fire history indicate that T. rostratus populations are particularly vulnerable to some of the environmental changes now occurring in south-western Australia.

Structuring diabetes care in general practices: Many improvements, remaining challenges

BACKGROUND

For people with type 2 diabetes to enjoy improved longevity and quality of life, care needs to be organised in a systematic way.

AIM

To test if processes and intermediate outcomes for patients with type 2 diabetes changed with the move to structured care in general practice shared with secondary care.

METHODS

An audit of process and intermediate outcomes for patients with type 2 diabetes before and after the change to structured care in 10 Dublin general practices shared with secondary care four years on.

RESULTS

Structured diabetes care in general practice has led to more dedicated clinics improved processes of care and increased access to multidisciplinary expertise. Improvement in blood pressure control, the use of aspirin and the use of lipid lowering agents indicate a significant decrease in absolute risk of vascular events for this population.

CONCLUSIONS

Structured care in general practice improves intermediate outcomes for people with type 2 diabetes. Further improvements need to be made to reach international targets.

Is ultrasound useful for evaluating paediatric inflammatory neck masses?

OBJECTIVE

To determine the accuracy of ultrasound in detecting the presence of pus in a neck mass in children.

DESIGN

Retrospective case sheet review.

SETTING

A district general hospital.

PARTICIPANTS

Children admitted from January 2000 to January 2004 with an acute cervical mass who were investigated by ultrasonography.

MAIN OUTCOME MEASURES

The presence of a clinically relevant abscess that did not respond to clinical management was used to determine the accuracy of the ultrasound result.

RESULTS

The sensitivity of ultrasound in the detection of an abscess was 65% and the specificity 88%. The predictive value of a positive ultrasound result was 81% and the predictive value of a negative test 77%.

CONCLUSIONS

Ultrasound is a useful modality in the evaluation of acute cervical masses but is observer dependent and has a relatively low sensitivity in detecting whether or not pus is present. The clinical indicators for the presence of an abscess are discussed and clinicians should combine clinical findings with the ultrasound findings in order to determine treatment.

Predicting abundance–body size relationships in functional and taxonomic subsets of food webs

Abundance-body size relationships are widely observed macroecological patterns in complete food webs and in taxonomically or functionally defined subsets of those webs. Observed abundance-body size relationships have frequently been compared with predictions based on the energetic equivalence hypothesis and, more recently, with predictions based on energy availability to different body size classes. Here, we consider the ways in which working with taxonomically or functionally defined subsets of food webs affected the relationship between the predicted and observed scaling of biomass and body mass in sediment dwelling benthic invertebrate communities at three sites in the North Sea. At each site, the energy available to body size classes in the "whole" community (community defined as all animals of 0.03125-32.0 g shell-free wet weight) and in three subsets was predicted from estimates of trophic level based on nitrogen stable isotope analysis. The observed and predicted scalings of biomass and body size were not significantly different for the whole community, and reflected an increase in energy availability with body size. However, the results for subsets showed that energy availability could increase or decrease with body size, and that individuals in the subsets were likely to be competing with individuals outside the subsets for energy. We conclude that the study of abundance-body mass relationships in functionally or taxonomically defined subsets of food webs is unlikely to provide an adequate test of the energetic equivalence hypothesis or other relationships between energy availability and scaling. To consistently and reliably interpret the results of these tests, it is necessary to know about energy availability as a function of body size both within and outside the subset considered.

Effects of chemical lipid extraction and arithmetic lipid correction on stable isotope ratios of fish tissues

For accurate interpretation of fish trophodynamics from carbon stable isotope data it is necessary to extract tissue lipids. This is because lipid content varies within and among tissues in both space and time, and because lipids are 13C-depleted relative to proteins. However, lipid extraction may affect delta15N, thus requiring costly and time-consuming separation of delta13C and delta15N analyses. These problems have prompted the development of arithmetic correction techniques for delta13C, but the techniques and their underlying assumptions have not been systematically tested. This study compared the effects of lipid extraction and arithmetic correction techniques on delta13C and delta15N of European sea bass (Dicentrarchus labrax) tissues. Following Folch lipid extraction from muscle and liver, there was a mean increase in delta15N of 0.77 per thousand, but enrichment varied with lipid content such that effects on delta15N were hard to predict. Changes in delta13C and C:N between untreated and lipid-extracted samples reflected the quantity of lipid removed. The arithmetic correction techniques of mass balance and lipid correction were sensitive to the C:N of the lipid-extracted tissue and to the assumed depletion of lipid delta13C relative to protein delta13C. However, the mass balance approach was appropriate for the mathematical correction of bulk tissue data in most circumstances, provided that the C:N of lipid-extracted tissue could be determined for a small proportion of samples. Application of mass balance arithmetic correction can lead to significant time and cost savings in trophodynamic studies, because the majority of delta13C and delta15N analyses would not need to be run separately.

Capacity and equity in cardiac rehabilitation in the eastern region: good and bad news

AIM

To document current baseline eligibility for Phase 3 cardiac rehabilitation (CR) and the capacity to meet this need in hospitals in the Eastern Regional Health Authority.

METHODS

Information on the eligible population and the capacity for CR was collected in all nine hospitals retrospectively (February-March 2001).

RESULTS

Forty-seven per cent of eligible patients were invited to participate with only two-thirds attending. Completion rates were very high (89%) in attenders. Age and health board area were significant independent predictors of being invited to CR. Gender was not independent of age. Fifty-three per cent of the need for this service was met by capacity in the region's nine hospitals in 2000 rising to 59% in 2002.

CONCLUSIONS

Many eligible patients are not invited to CR. Lack of capacity is a problem. Among the invited, non-participation is a factor. Inequity in age and inter-hospital variation in invitation is noted.

Tissue and fixative dependent shifts of delta13C and delta15N in preserved ecological material

Carbon and nitrogen stable isotope analyses are routinely used to investigate aquatic food webs, and have potential application in retrospective investigations using archived materials. However, such analyses assume that storage does not alter isotopic signatures of materials preserved, or that changes in isotopic composition during storage are predictable. Here we examine preservation shifts on cod (Gadus morhua) muscle, roe and liver tissue over 21 months following preservation in 80% ethanol, in 4% formaldehyde, and by freezing. Preservation shifts were not consistent among tissues. High protein tissues exhibited greater delta(15)N shifts than low protein tissues in 4% formaldehyde, while greater delta(13)C shifts occurred in relatively higher fat tissues when preserved in alcohol. Freezing did not change isotopic signatures. Responses of delta(15)N and delta(13)C are explained by differences in the preservative's isotopic signature and the reaction properties and biochemical composition of the tissues preserved. The results clarify some of the processes that lead to isotopic change during preservation.

Health and safety implications of injury in professional rugby league football

BACKGROUND

Professional sport is characterized by high injury rates but is also covered by health and safety legislation.

AIM

To examine the incidence of injury in professional rugby league as defined by the Reporting of Diseases and Dangerous Occurrences Regulations 1995 (RIDDOR 95).

METHODS

All injuries received during playing and training to both first-team and 'academy' (<19 years old) players during two playing seasons at one professional club were recorded. The length of time a player was unable to take part in full training and playing was used as a measure of severity. Injuries were classified into minor injuries (0-3 days), over 3 day injuries or major injuries, in which the final two categories corresponded with RIDDOR 95.

RESULTS

Thirty-two per cent (95% confidence interval=26-39%) of all injuries received satisfied the RIDDOR 95 criteria. The overall injury rate was 8.5 per 1000 h (7.2-9.9) for the first team and 4.1 per 1000 h (3.2-5.4) for the academy team. During match play the first-team injury rate was 157.7 per 1000 h (133.5-185.1) and 67.7 (51-81.1) for the academy team. Training injury rates were lower, at 0.5 per 1000 h (0.2-1.0) and 0.3 per 1000 h (0.1-0.8), respectively.

CONCLUSION

The injury rate for professional rugby league is much higher than reported in other high-risk occupations such as mining and quarrying. The large differences in injury rates between first and academy teams have implications for young players likely to progress to first-team status.

Medium term follow up of endoscopically assisted BPTB ACL reconstruction using a two-incision technique--return to sporting activity

We report our findings of a prospective outcome study of a series of 50 patients with chronic ACL injury undergoing arthroscopically assisted bone-patellar-tendon-bone ACL reconstruction. Patients underwent reconstruction if they had instability precluding participation in sport at the desired level and were reviewed at a mean of 62 months. Clinical examination was carried out pre and post operatively. Assessment was augmented by KT 1000 measurement, Tegner activity score and Lysholm score. Surgery was considered a failure if the Pivot Shift test was 2+(jerk) or symptoms of instability persisted. By these criteria 48 patients were successfully treated. Our results show a good medium term outcome for this reconstructive method. We had a 94% return to sporting activity but at a lower than expected activity level. Clinical examination showed an improvement and we recorded excellent or good results on Lysholm score in all these patients.