General anaesthetic and airway management practice for obstetric surgery in England: a prospective, multi-centre observational study

There are no current descriptions of general anaesthesia characteristics for obstetric surgery, despite recent changes to patient baseline characteristics and airway management guidelines. This analysis of data from the direct reporting of awareness in maternity patients' (DREAMY) study of accidental awareness during obstetric anaesthesia aimed to describe practice for obstetric general anaesthesia in England and compare with earlier surveys and best-practice recommendations. Consenting patients who received general anaesthesia for obstetric surgery in 72 hospitals from May 2017 to August 2018 were included. Baseline characteristics, airway management, anaesthetic techniques and major complications were collected. Descriptive analysis, binary logistic regression modelling and comparisons with earlier data were conducted. Data were collected from 3117 procedures, including 2554 (81.9%) caesarean deliveries. Thiopental was the induction drug in 1649 (52.9%) patients, compared with propofol in 1419 (45.5%). Suxamethonium was the neuromuscular blocking drug for tracheal intubation in 2631 (86.1%), compared with rocuronium in 367 (11.8%). Difficult tracheal intubation was reported in 1 in 19 (95%CI 1 in 16-22) and failed intubation in 1 in 312 (95%CI 1 in 169-667). Obese patients were over-represented compared with national baselines and associated with difficult, but not failed intubation. There was more evidence of change in practice for induction drugs (increased use of propofol) than neuromuscular blocking drugs (suxamethonium remains the most popular). There was evidence of improvement in practice, with increased monitoring and reversal of neuromuscular blockade (although this remains suboptimal). Despite a high risk of difficult intubation in this population, videolaryngoscopy was rarely used (1.9%)

On the predictability of phenotypic divergence in geographic isolation

Do related populations that are separated by barriers predictably evolve differences from one another over time, or is such divergence idiosyncratic and unpredictable? We test these alternatives by investigating patterns of trait evolution for 54 sister pairs of Andean forest birds that live in similar environments on either side of the arid Marañón Gap, a strong dispersal barrier for humid montane species. We measured divergence in both sexual (song and plumage) and ecological (beak size and beak shape) traits. Sexual traits evolve in a clock-like fashion, with trait divergence positively correlated with genetic distance (r = 0.6-0.7). In contrast, divergence in ecological traits is uncorrelated or only loosely correlated with genetic distance (r = 0.0-0.3). Thus, for geographically isolated Andean montane forest birds that live in similar environments, divergence is predictable in sexual traits, but not for ecological traits. This means that sexual trait divergence occurs independently of adaptive ecological divergence within the mega-diverse tropical Andean avifauna. Last, we show that variation in genetic divergence across a biogeographic barrier is associated with traits that are proxies for species\u27 opportunities for dispersal (low elevation limit and elevational niche breadth), but not with traits that are proxies for species\u27 dispersal abilities (hand-wing index and foraging strata)

Data from: Adaptive genetic variation mediates bottom-up and top-down control in an aquatic ecosystem

Research in eco-evolutionary dynamics and community genetics has demonstrated that variation within a species can have strong impacts on associated communities and ecosystem processes. Yet, these studies have centred around individual focal species and at single trophic levels, ignoring the role of phenotypic variation in multiple taxa within an ecosystem. Given the ubiquitous nature of local adaptation, and thus intraspecific variation, we sought to understand how combinations of intraspecific variation in multiple species within an ecosystem impacts its ecology. Using two species that co-occur and demonstrate adaptation to their natal environments, black cottonwood (Populus trichocarpa) and three-spined stickleback (Gasterosteus aculeatus), we investigated the effects of intraspecific phenotypic variation on both top-down and bottom-up forces using a large-scale aquatic mesocosm experiment. Black cottonwood genotypes exhibit genetic variation in their productivity and consequently their leaf litter subsidies to the aquatic system, which mediates the strength of top-down effects from stickleback on prey abundances. Abundances of four common invertebrate prey species and available phosphorous, the most critically limiting nutrient in freshwater systems, are dictated by the interaction between genetic variation in cottonwood productivity and stickleback morphology. These interactive effects fit with ecological theory on the relationship between productivity and top-down control and are comparable in strength to the effects of predator addition. Our results illustrate that intraspecific variation, which can evolve rapidly, is an under-appreciated driver of community structure and ecosystem function, demonstrating that a multi-trophic perspective is essential to understanding the role of evolution in structuring ecological patterns

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Physical response variables from the experiment (i.e. phosphorous, chla, GPP

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Zooplankton, benthic invertebrate, and water column invertebrates from the Populus-stickleback experiment

Jurassic and Cretaceous clays of the northern and central North Sea hydrocarbon reservoirs reviewed

The principal clays of the northern and central North Sea are illite (sometimes with interlayered smectite) and kaolin. Chlorite is only locally important. Although it has been proposed that kaolin within North Sea sandstones is detrital in origin, the majority of workers have concluded that it is authigenic, largely the product of feldspar alteration. Kaolin is found within a wide range of sedimentary settings (and within shales) apparently defying the notion that kaolin is an indicator of meteoric water deposition. Within sandstones, the earliest authigenic kaolin has a vermiform morphology, the distribution of which is controlled by the availability of detrital mica to act as a nucleus, and the composition of the post-depositional porewaters. This vermiform kaolin formed in meteoric water, the presence of which is easily accounted for below sub-aerial exposure surfaces in non-marine formations, and below unconformities over marine units. In fully marine sands, and even marine shale units, kaolin still occurs. It has therefore been suggested that even these locations have been flushed with meteoric water. Early vermiform kaolin recrystallizes to a more blocky morphology as burial proceeds, at least in the Brent Group. Blocky kaolin has been reported as growing before, synchronously with, and after the formation of quartz overgrowths, though oxygen isotope studies support low-temperature growth, pre-quartz. Blocky kaolin may form during meteoric flushing associated with lower Cretaceous uplift and erosion, though it is found in fault blocks that are thought to have remained below sea level. Here, the kaolin may form in stagnant meteoric water, relics of the post-depositional porewater. It has also been proposed that the blocky kaolin grew in ascending basinal waters charged with carboxylic acids and CO2, though this hypothesis is not supported by stable oxygen isotope data. Some of the blocky kaolin is dickite, the stable polymorph above ∼100°C. Fibrous illite occurs almost ubiquitously within the clastic sediments of the North Sea. An early pore-lining phase has been interpreted as both infiltrated clastic clay, and as an early diagenetic phase. Early clays may have been quite smectite-rich illites, or even discrete smectites. Later, fibrous illite is undoubtedly neoformed, and can degrade reservoir quality significantly. Both within sandstones and shales, there is an apparent increase in the K content deeper than 4 km of burial, which could be due to dilution of the early smectite-rich phase by new growth illite, or to the progressive illitization of existing I-S. Much of the 'illite' that has been dated by the K-Ar method may therefore actually be I-S. The factors that control the formation of fibrous illite are only poorly known, though temperature must play a role. Illite growth has been proposed for almost the entire range of diagenetic temperatures (e.g. 15-20°C, Brent Group; 35-40°C, Oxfordian Sand, Inner Moray Firth; 50-90°C, Brae formation; 100-110°C, Brent Group; 130-140°C, Haltenbanken). It seems unlikely that there is a threshold temperature below which illite growth is impossible (or too slow to be significant), though this is a recurring hypothesis in the literature. Instead, illite growth seems to be an event, commonly triggered by oil emplacement or another change in the physiochemical conditions within the sandstone, such as an episode of overpressure release. Hence fibrous illite can grow at any temperature encountered during diagenesis. Although there is an extensive dataset of K-Ar ages of authigenic illites from the Jurassic of the North Sea, there is no consensus as to whether the data are meaningful, or whether the purified illite samples prepared for analysis are so contaminated with detrital phases as to render the age data meaningless. At present it is unclear about how to resolve this problem, though there is some indication that chemical micro-analysis could help. It is a common belief that illite ages record the timing of oil charge, and so can be used to calibrate basin models. Grain-coating Fe-rich chlorite cements can preserve exceptional porosity during burial. They are found in marginal marine sandstones, formed during diagenesis from precursor Fe-rich clays such as berthierine or verdine

Microclimate of large solitary trees along rural-to-urban gradients across Europe

Large solitary trees are keystone features for biodiversity in many urban and rural landscapes around the world. Yet, because of their isolation, they do not benefit from the buffering effect of neighbouring trees as in forests. As they are more exposed, solitary trees are more vulnerable to the impacts of climate change, such as extreme droughts, heat waves, and wind gusts. Research on microclimates below solitary trees is scarce and a more detailed understanding is needed to better understand and predict the future impacts of climate change on their associated biodiversity and ecosystem services. Here we quantified air temperatures and vapour pressure deficits below the crown of &gt;200 trees along rural-to-urban gradients for three tree species (oak, ash, and lime) across nine European cities. We recorded microclimate measurements every 30 min for 10 months and analysed the effects of the surrounding built-up area and how different tree species influence microclimatic conditions. The microclimate below trees in more urban areas was overall warmer and drier than below rural trees, whereby 10 % more built-up area caused average summer air temperatures to increase by 0.1 °C and average vapour pressure deficits by 0.02 kPa. Oak and lime were able to dampen the temporal fluctuations of air temperature and vapour pressure deficit more than ash and were able to mitigate maximum summer temperatures 0.55 °C more than ash. Our research thus underpins that solitary trees shape their own species-specific microclimate. We advocate for integrated tree planning to preserve and provide space for solitary trees, and by adopting solitary trees as key components of urban and rural green infrastructures, we can improve microclimatic conditions and enhance biodiversity, ultimately creating more sustainable and liveable landscapes.</p