We conducted an analysis of a nationwide survey of US physician offices between 2016 and 2019 and calculated annualized prevalence rates of urinary tract infections (UTIs). During the 3-year study period, UTI was the most common infection in US physician offices, accounting for approximately 10 million annualized encounters.

The Arable Area Payments Scheme of the European Union has been in operation since 1992, paying farmers to set aside a portion of their arable land from production for 1 to 5 yr. Management of the land is prescribed, both in terms of timing and type. The scheme is potentially beneficial to the environment, as set-aside land can be used to improve bird, mammal, and insect habitats. However, environmental and agronomic objectives frequently conflict, particularly in the area of weed management. To predict weed growth and succession, a tool was required to model vegetation at set-aside sites using the key environmental factors, location, and soil that could account for differences in the weed species likely to be invasive. To this end, a Geographical Information System has been developed that links modeled species distributions to a model of successional change. The system has a simple menu structure allowing speedy manipulation of the data and models to predict the effects of management on the weed communities at known geographical locations.

In autumn 2014, enterovirus D68 (EV-D68) cases presenting with severe respiratory or neurological disease were described in countries worldwide. To describe the epidemiology and virological characteristics of EV-D68 in England, we collected clinical information on laboratory-confirmed EV-D68 cases detected in secondary care (hospitals), between September 2014 and January 2015. In primary care (general practitioners), respiratory swabs collected (September 2013–January 2015) from patients presenting with influenza-like illness were tested for EV-D68. In secondary care 55 EV-D68 cases were detected. Among those, 45 cases had clinical information available and 89% (40/45) presented with severe respiratory symptoms. Detection of EV-D68 among patients in primary care increased from 0.4% (4/1074; 95% CI 0.1–1.0) (September 2013–January 2014) to 0.8% (11/1359; 95% CI 0.4–1.5) (September 2014–January 2015). Characterization of EV-D68 strains circulating in England since 2012 and up to winter 2014/2015 indicated that those strains were genetically similar to those detected in 2014 in USA. We recommend reinforcing enterovirus surveillance through screening respiratory samples of suspected cases.

Parasites of the genera Plasmodium and Haemoproteus (Apicomplexa: Haemosporida) are a diverse group of pathogens that infect birds nearly worldwide. Despite their ubiquity, the ecological and evolutionary factors that shape the diversity and distribution of these protozoan parasites among avian communities and geographic regions are poorly understood. Based on a survey throughout the Neotropics of the haemosporidian parasites infecting manakins (Pipridae), a family of Passerine birds endemic to this region, we asked whether host relatedness, ecological similarity and geographic proximity structure parasite turnover between manakin species and local manakin assemblages. We used molecular methods to screen 1343 individuals of 30 manakin species for the presence of parasites. We found no significant correlations between manakin parasite lineage turnover and both manakin species turnover and geographic distance. Climate differences, species turnover in the larger bird community and parasite lineage turnover in non-manakin hosts did not correlate with manakin parasite lineage turnover. We also found no evidence that manakin parasite lineage turnover among host species correlates with range overlap and genetic divergence among hosts. Our analyses indicate that host switching (turnover among host species) and dispersal (turnover among locations) of haemosporidian parasites in manakins are not constrained at this scale.

We present the first experimentally determined oscillator strengths for the Pb ii transitions at 1203.6 Å and 1433.9 Å, obtained from lifetime measurements made using beam-foil techniques. We also present new detections of these lines in the interstellar medium from an analysis of archival spectra acquired by the Space Telescope Imaging Spectrograph onboard the Hubble Space Telescope. Our observations of the Pb ii λ1203 line represent the first detection of this transition in interstellar gas. Our experimental f-values for the Pb ii λ1203 and λ1433 transitions are consistent with recent theoretical results, including our own relativistic calculations, but are significantly smaller than previous values based on older calculations. Our new f-value for Pb ii λ1433 (0.321 ± 0.034) yields an increase in the interstellar abundance of Pb of 0.43 dex over estimates based on the f-value listed by Morton. With our revised f-values, and with our new detections of Pb ii λ1203 and λ1433, we find that the depletion of Pb onto interstellar grains is not nearly as severe as previously thought, and is very similar to the depletions seen for elements such as Zn and Sn, which have similar condensation temperatures.

General Practitioner consultation rates for influenza-like illness (ILI) are monitored through several geographically distinct schemes in the UK, providing early warning to government and health services of community circulation and intensity of activity each winter. Following on from the 2009 pandemic, there has been a harmonization initiative to allow comparison across the distinct existing surveillance schemes each season. The moving epidemic method (MEM), proposed by the European Centre for Disease Prevention and Control for standardizing reporting of ILI rates, was piloted in 2011/12 and 2012/13 along with the previously proposed UK method of empirical percentiles. The MEM resulted in thresholds that were lower than traditional thresholds but more appropriate as indicators of the start of influenza virus circulation. The intensity of the influenza season assessed with the MEM was similar to that reported through the percentile approach. The MEM pre-epidemic threshold has now been adopted for reporting by each country of the UK. Further work will continue to assess intensity of activity and apply standardized methods to other influenza-related data sources.

Leptospirosis is a globally important zoonotic infection caused by spirochaetes of the genus Leptospira. It is transmitted to humans by direct contact with infected animals or indirectly via contaminated water. It is mainly a problem of the resource-poor developing countries of the tropical and sub-tropical regions of the world but outbreaks due to an increase in travel and recreational activities have been reported in developed and more industrialized areas of the world. Current methods of diagnosis are costly, time-consuming and require the use of specialized laboratory equipment and personnel. The purpose of this paper is to report the validation of the ‘Leptorapide®’ test (Linnodee Ltd, Northern Ireland) for the diagnosis of human leptospirosis. It is a simple one-step latex agglutination assay performed using equal volumes of serum sample and antigen-bound latex beads. Evidence of leptospiral antibodies is determined within minutes. Agglutination is scored on a scale of 1–5 and the results interpreted using a score card provided with the kit. Validation has been performed with a large sample size obtained from individuals originating from various parts of the world including Brazil and India. The test has shown sensitivity and specificity values of 97·1% and 94·0%, respectively, relative to the microscopic agglutination test. The results demonstrate that Leptorapide offers a cost-effective and accurate alternative to the more historical methods of antibody detection.

Uncertainties exist regarding the population risks of hospitalization due to pandemic influenza A(H1N1). Understanding these risks is important for patients, clinicians and policy makers. This study aimed to clarify these uncertainties. A national surveillance system was established for patients hospitalized with laboratory-confirmed pandemic influenza A(H1N1) in England. Information was captured on demographics, pre-existing conditions, treatment and outcomes. The relative risks of hospitalization associated with pre-existing conditions were estimated by combining the captured data with population prevalence estimates. A total of 2416 hospitalizations were reported up to 6 January 2010. Within the population, 4·7 people/100 000 were hospitalized with pandemic influenza A(H1N1). The estimated hospitalization rate of cases showed a U-shaped distribution with age. Chronic kidney disease, chronic neurological disease, chronic respiratory disease and immunosuppression were each associated with a 10- to 20-fold increased risk of hospitalization. Patients who received antiviral medication within 48 h of symptom onset were less likely to be admitted to critical care than those who received them after this time (adjusted odds ratio 0·64, 95% confidence interval 0·44–0·94, P=0·024). In England the risk of hospitalization with pandemic influenza A(H1N1) has been concentrated in the young and those with pre-existing conditions. By quantifying these risks, this study will prove useful in planning for the next winter in the northern and southern hemispheres, and for future pandemics.

After exposure of nymphs of some Pyrrhocorid bugs to contact with certain papers or wood chips, abnormal adults are produced. Some have crumpled wings (distorted adults) and a proportion of these do not berrd, others have wing buds resembling those of a last-stage nymph and can never breed (juvenile adults). A study was made on Pyrrhocoris apterus L. and Dysdercus intermedius Dist. of the source of the factors causing these abnormalities, which were more severe in the latter species.

Exposure of nymphs to paper fro the Scientific American or the Sunday Express resulted in the production of 60–100 per cent. ‘juvenile’ adults, the others showing lesser deformities. Chips from the Baisam Fir (Abies balsamea) resulted in almost 100 per cent. ‘juvenile adults’ in Dysdercus and over 80 per cent. distorted adults in yPyrrhocoris. Chips from two other common American pulp trees (Pseudotsuga taxifolia and Tsuga albertiana) resulted in only a few distorted adults and no ‘juvenile adults’. Several chemial pulps were tested but none caused deformities, and it was conculded that the chemical processes removed all the active priniciples, even from the wood of the Balsam Fir. Mechanically produced pulp from the Balsam Fir was, in contrast, fully active. It was conculded that daily newspapers may contain enough mechanical pulp from active woods to produce the deformities, but that the active material must be in substances added later in manufacture to the papers used in the Scientific American, some copies of Nature, and tissues.

A number of tree products (mainly terpenoids) that are commonly added to paper in the final stages of manufacture were tested as extracts applied to filter paper. Tall oil rosin had little or on effect on the growth of either species, but it resulted in an increase in the number of eggs laid. Gum rosin had little effect on either species, except to produce a few distorted adults. Wood rosin likewise had little effect on P. apterus, but produced many distorted adults of D. intermedius, of which very few laid eggs. Bornly acetate, a common component of the tree orsins, produced some distorted adults of both species, and greatly reduced fertility in D. intermedius.

None of the qctive mqteriqls affected locusts (Schistocera gregaria Forsk. and Locusta migratoria migratorioides R. & F.) except that myrrh oil (a terpenoid) increased the rate of sexusl maturation.

The egg shell of Dipetalonema viteae separated from the oolemma and became highly convoluted at an early stage of development. No second oolemma or trilaminate membrane was seen. Channels containing electron dense material (thought to be nutrient material from the uterine wall) were formed between adjacent embryos. Many developing embryos died.

Microvilli were formed by the uterine wall and developing embryos were closely apposed to these (again presumably to obtain nutrient).

Embryos emerged from the egg in the uterus and were born as unsheathed microfilariae.

Evidence of past zoonotic infection was investigated serologically in randomly selected Northern Ireland farmers. The percentage of farmers with antibody was: Brucella abortus (0·7), Leptospira interrogans serovars (8·1), Borrelia burgdorferi (14·3), Toxoplasma gondii (73·5), Coxiella burnetii (28·0), Chlamydia psittaci (11·1) and Hantavirus (1·2).

The results show that Northern Ireland farmers have been exposed in the past to zoonotic infections. It is not known if these infections contributed to ill health in farmers but it is now time for the health of farm workers and their medical services to be reassessed.

During a study of genital infection in inner-city family-planning patients we examined 452 women for Chlamydia trachomatis. The prevalence of infection was 7·3%. There was no significant difference between patients attending because of genital symptoms and those who were attending for routine family-planning advice. Infection was found to be correlated with five main demographic parameters; age less than 25, no stable partnership, hormonal contraception, nulliparity and West Indian Ethnic origin. Using these parameters a simple scoring system was devised which allowed a high-risk population to be defined in whom screening would be economically justified.

Energy budgets and estimates of forage intake requirements were developed for adult camels, cattle, sheep, and goats managed by nomads in the arid Turkana District of north-western Kenya. The estimates were developed by combining our field data on livestock activity patterns, diet quality, weight changes and milk yields with literature based estimates of the associated costs and efficiencies. On an annual basis, the average animal walked 17 km/day and had a total metabolizable energy (ME) allocation of 47% for basal metabolism, 16% for travel, 14% for other activities, and 23% for production. Season and species influenced patterns of energy demand and allocation. Average daily ME requirements ranged from 8·7 MJ (sheep) to 76·7 MJ (camels). ME demand for all species peaked during wet (April-May) or early-to mid-dry periods (June-October), and decreased considerably in the late-dry season (November-March). In the wet season the average sheep or goat allocated 45% of its ME budget to production of milk and gain, followed by cattle (36%) and camels (25%). All species were more similar in ME allocation for production during the late-dry season (7–13%; all to lactation), yet patterns of weight loss during this time indicated that camels experienced the lowest degree of negative energy balance. On an annual basis, camel budgets were the most deviant, as they allocated relatively more ME to activity and relatively less to basal metabolism or weight gain. Estimates of forage dry-matter intakes (per unit live weight per day) ranged from 3·8% (cattle, camels) to 4·6% (sheep, goats) throughout the year, and intakes declined for most species by an average of 50% from the wet to late-dry intervals. This approach has revealed ecological differences among livestock species that help explain the utility of multi-species holdings in this system.