Great Britain Research Articles

What Charles Darwin owed to Joseph Banks

History has remembered Joseph Banks as the explorer-botanist of the first voyage of James Cook. Yet, shortly after his return, he got elected president of the Royal Society and, for over 40years, he then played in Great Britain an eminent role in reorganizing natural sciences and advocating an "economic botany". He actively intervened in acclimatization and varietal selection of plants and animals in Great Britain as in the future English colonies. Thus he built an intellectual environment which will promote the emergence of Charles Darwin's thoughts.

ARAP3 protects from excessive formylated peptide-induced microvascular leakage by acting on endothelial cells and neutrophils.

Vascular permeability is temporarily heightened during inflammation, but excessive inflammation-associated microvascular leakage can be detrimental, as evidenced in the inflamed lung. Formylated peptides regulate vascular leakage indirectly via formylated peptide receptor-1 (FPR1)-mediated recruitment and activation of neutrophils. Here we identify how the GTPase-activating protein ARAP3 protects against formylated peptide-induced microvascular permeability via endothelial cells and neutrophils. In vitro, Arap3-/- endothelial monolayers were characterised by enhanced formylated peptide-induced permeability due to upregulated endothelial FPR1 and enhanced vascular endothelial cadherin internalisation. In vivo, enhanced inflammation-associated microvascular leakage was observed in Arap3-/- mice. Leakage of plasma protein into the lungs of Arap3-/- mice increased within hours of formylated peptide administration. Adoptive transfer experiments indicated this was dependent upon ARAP3 deficiency in both immune and non-immune cells. Bronchoalveolar lavages of formylated peptide-challenged Arap3-/- mice contained neutrophil extracellular traps (NETs). Pharmacological inhibition of NET formation abrogated excessive microvascular leakage, indicating a critical function of NETs in this context. The observation that Arap3-/- mice developed more severe influenza suggests these findings are pertinent to pathological situations characterised by abundant formylated peptides. © 2024 The Authors. The Journal of Pathology published by John Wiley & Sons Ltd on behalf of The Pathological Society of Great Britain and Ireland.

Genetic and epigenetic alterations in precursor lesions of endometrial endometrioid carcinoma.

The hyperplasia-carcinoma sequence is a stepwise tumourigenic programme towards endometrial cancer in which normal endometrial epithelium becomes neoplastic through non-atypical endometrial hyperplasia (NAEH) and atypical endometrial hyperplasia (AEH), under the influence of unopposed oestrogen. NAEH and AEH are known to exhibit polyclonal and monoclonal cell growth, respectively; yet, aside from focal PTEN protein loss, the genetic and epigenetic alterations that occur during the cellular transition remain largely unknown. We sought to explore the potential molecular mechanisms that promote the NAEH-AEH transition and identify molecular markers that could help to differentiate between these two states. We conducted target-panel sequencing on the coding exons of 596 genes, including 96 endometrial cancer driver genes, and DNA methylome microarrays for 48 NAEH and 44 AEH lesions that were separately collected via macro- or micro-dissection from the endometrial tissues of 30 cases. Sequencing analyses revealed acquisition of the PTEN mutation and the clonal expansion of tumour cells in AEH samples. Further, across the transition, alterations to the DNA methylome were characterised by hypermethylation of promoter/enhancer regions and CpG islands, as well as hypo- and hyper-methylation of DNA-binding regions for transcription factors relevant to endometrial cell differentiation and/or tumourigenesis, including FOXA2, SOX17, and HAND2. The identified DNA methylation signature distinguishing NAEH and AEH lesions was reproducible in a validation cohort with modest discriminative capability. These findings not only support the concept that the transition from NAEH to AEH is an essential step within neoplastic cell transformation of endometrial epithelium but also provide deep insight into the molecular mechanism of the tumourigenic programme. © 2024 The Authors. The Journal of Pathology published by John Wiley & Sons Ltd on behalf of The Pathological Society of Great Britain and Ireland.

Attitudes Towards Filial Responsibility in 11 European Countries

This study examines how attitudes towards filial responsibility (AFR) have changed in 11 European countries between 2001 and 2017, based on data from the International Social Survey Programme. These countries include various types of welfare states and family traditions. The study also analyses the change in AFR according to the respondents’ gender and age. The findings indicate that in 2017, individuals reported lower filial responsibility than in 2001, with the exception of Great Britain, where the AFR increased. The most substantial decreases in AFR were observed in Hungary, France, Denmark, and Finland. This negative shift is visible in both genders and all age groups, particularly late middle-aged women. However, despite the varying intensity of AFR change, it was challenging to identify clear patterns in the variations between countries. These results highlight potential negative effects on political proposals for long-term care for older adults supported by younger generations.

Endonormative stabilization in Philippine English lexis

AbstractIn the past 10 years, we have seen an enormous increase in the interest in Philippine English (PhilE) vocabulary. This is especially documented by the new entries of distinctive PhilE words in the Oxford English dictionary. Thanks to the rise of electronic mega‐corpora, such as GloWbE and the NOW Corpus, it has become possible to discover even more lexical innovations in PhilE. In this article, I compare nominal and adjectival suffixes across the following varieties of English: India, Singapore, Hong Kong, the Philippines, the United States, Canada, New Zealand and Great Britain. The comparisons were carried out on a quantitative and qualitative level, based on the findings in GloWbE, NOW and ICE. Apart from suffixes, the article also discusses less frequent and productive types of word‐formation, such as synthetic compounds and splinters (budgetarian).

“Oh Yes! Net-Zero”: Sociotechnical capabilities and regional innovation systems for British industrial decarbonization

Few sectors in the global economy need deep decarbonization as much as heavy industry, which is currently the largest and fastest growing source of global carbon emissions. Based on an original dataset of 111 expert interviews and 52 site visits, this paper asks: what sociotechnical pathways, capabilities, and regional innovation systems are emerging to support industrial decarbonization? It combines and applies insights from evolutionary economic geography and transitions studies, such as sociotechnical capabilities and learning, as well as spatial frameworks such as challenge-oriented regional innovation systems (CoRIS) and green industrial restructuring. It utilizes these collective concepts of pathways, capabilities and CoRIS to explore the organizational and technological, individual, and systems level dimensions of industrial decarbonization efforts ongoing across Great Britain. We find that within industrial net-zero clusters, spatial and technological proximities are being effectively leveraged, especially through new forms of networking, collaboration, and partnerships. CoRIS provides the basis for greater reflection on perennial transitions issues, both within and across clusters, related to incumbency and innovation, in addition to spotlighting emergent issues such as light versus deep green restructuring and incremental versus transformative change. In simpler terms, industrial decarbonization unfolds as a multi-scalar process. Industrial decarbonization exhibits both incremental and transformative patterns of change. Industrial decarbonization lastly involves dynamic processes that coevolve across a spectrum of sociotechnical attributes.

An assessment of future rewilding potential in the United Kingdom.

Restoring ecosystems is an imperative for addressing biodiversity loss and climate change, and achieving the targets of the Kunming-Montreal Global Biodiversity Framework. One form of restoration, rewilding, may have particular promise but may also be precluded by requirements for other forms of land use now or in the future. This opportunity space is critical but challenging to assess. We explored the potential area available for rewilding in Great Britain until the year 2080 with a multisectoral land-use model with several distinct climatic and socioeconomic scenarios. By 2080, areas from 5000 to 7000km2 were either unmanaged or managed in ways that could be consistent with rewilding across scenarios without conflicting with the provision of ecosystem services. Beyond these areas, another 24,000-42,000km2 of extensive upland management could provide additional areas for rewilding if current patterns of implementation hold in the future. None of these areas, however, coincided reliably with ecosystems of priority for conservation: peatlands, ancient woodlands, or wetlands. Repeatedly, these ecosystems were found to be vulnerable to conversion. Our results are not based on an assumption of support for or benefits from rewilding and do not account for disadvantages, such as potential losses of cultural landscapes or traditional forms of management, that were beyond the modeled ecosystem services. Nevertheless, potential areas for rewilding emerge in a variety of ways, from intensification elsewhere having a substantial but inadvertent land-sparing effect, popular demand for environmental restoration, or a desire for exclusive recreation among the wealthy elite. Our findings therefore imply substantial opportunities for rewilding in the United Kingdom but also a need for interventions to shape the nature and extent of that rewilding to maintain priority conservation areas and societal objectives.

Multiomics sequencing and immune microenvironment characteristics define three subtypes of small cell neuroendocrine carcinoma of the cervix.

Small cell cervical carcinoma (SCCC) is the most common neuroendocrine tumor in the female genital tract, with an unfavorable prognosis and lacking an evidence-based therapeutic approach. Until now, the distinct subtypes and immune characteristics of SCCC combined with genome and transcriptome have not been described. We performed genomic (n = 18), HPV integration (n = 18), and transcriptomic sequencing (n = 19) of SCCC samples. We assessed differences in immune characteristics between SCCC and conventional cervical cancer, and other small cell neuroendocrine carcinomas, through bioinformatics analysis and immunohistochemical assays. We stratified SCCC patients through non-negative matrix factorization and described the characteristics of these distinct types. We further validated it using multiplex immunofluorescence (n = 77) and investigated its clinical prognostic effect. We confirmed a high frequency of PIK3CA and TP53 alterations and HPV18 integrations in SCCC. SCCC and other small cell carcinoma had similar expression signatures and immune cell infiltration patterns. Comparing patients with SCCC to those with conventional cervical cancer, the former presented immune excluded or 'desert' infiltration. The number of CD8+ cells in the invasion margin of SCCC patients predicted favorable clinical outcomes. We identified three transcriptome subtypes: an inflamed phenotype with high-level expression of genes related to the MHC-II complex (CD74) and IFN-α/β (SCCC-I), and two neuroendocrine subtypes with high-level expression of ASCL1 or NEUROD1, respectively. Combined with multiple technologies, we found that the neuroendocrine groups had more TP53 mutations and SCCC-I had more PIK3CA mutations. Multiplex immunofluorescence validated these subtypes and SCCC-I was an independent prognostic factor of overall survival. These results provide insights into SCCC tumor heterogeneity and potential therapies. © 2024 The Authors. The Journal of Pathology published by John Wiley & Sons Ltd on behalf of The Pathological Society of Great Britain and Ireland.

Megalin‐related mechanism of hemolysis‐induced acute kidney injury and the therapeutic strategy

AbstractHemolysis‐induced acute kidney injury (AKI) is attributed to heme‐mediated proximal tubule epithelial cell (PTEC) injury and tubular cast formation due to intratubular protein condensation. Megalin is a multiligand endocytic receptor for proteins, peptides, and drugs in PTECs and mediates the uptake of free hemoglobin and the heme‐scavenging protein α1‐microglobulin. However, understanding of how megalin is involved in the development of hemolysis‐induced AKI remains elusive. Here, we investigated the megalin‐related pathogenesis of hemolysis‐induced AKI and a therapeutic strategy using cilastatin, a megalin blocker. A phenylhydrazine‐induced hemolysis model developed in kidney‐specific mosaic megalin knockout (MegKO) mice confirmed megalin‐dependent PTEC injury revealed by the co‐expression of kidney injury molecule‐1 (KIM‐1). In the hemolysis model in kidney‐specific conditional MegKO mice, the uptake of hemoglobin and α1‐microglobulin as well as KIM‐1 expression in PTECs was suppressed, but tubular cast formation was augmented, likely due to the nonselective inhibition of protein reabsorption in PTECs. Quartz crystal microbalance analysis revealed that cilastatin suppressed the binding of megalin with hemoglobin and α1‐microglobulin. Cilastatin also inhibited the specific uptake of fluorescent hemoglobin by megalin‐expressing rat yolk sac tumor‐derived L2 cells. In a mouse model of hemolysis‐induced AKI, repeated cilastatin administration suppressed PTEC injury by inhibiting the uptake of hemoglobin and α1‐microglobulin and also prevented cast formation. Hemopexin, another heme‐scavenging protein, was also found to be a novel ligand of megalin, and its binding to megalin and uptake by PTECs in the hemolysis model were suppressed by cilastatin. Mass spectrometry‐based semiquantitative analysis of urinary proteins in cilastatin‐treated C57BL/6J mice indicated that cilastatin suppressed the reabsorption of a limited number of megalin ligands in PTECs, including α1‐microglobulin and hemopexin. Collectively, cilastatin‐mediated selective megalin blockade is an effective therapeutic strategy to prevent both heme‐mediated PTEC injury and cast formation in hemolysis‐induced AKI. © 2024 The Pathological Society of Great Britain and Ireland.

Broadleaf afforestation impacts on terrestrial hydrology insignificant compared to climate change in Great Britain

Abstract. Widespread afforestation has been proposed internationally to reduce atmospheric carbon dioxide; however, the specific hydrological consequences and benefits of such large-scale afforestation (e.g. natural flood management) are poorly understood. We use a high-resolution land surface model, the Joint UK Land Environment Simulator (JULES), with realistic potential afforestation scenarios to quantify possible hydrological change across Great Britain in both present and projected climate. We assess whether proposed afforestation produces significantly different regional responses across regions; whether hydrological fluxes, stores and events are significantly altered by afforestation relative to climate; and how future hydrological processes may be altered up to 2050. Additionally, this enables determination of the relative sensitivity of land surface process representation in JULES compared to climate changes. For these three aims we run simulations using (i) past climate with proposed land cover changes and known floods and drought events; (ii) past climate with independent changes in precipitation, temperature, and CO2; and (iii) a potential future climate (2020–2050). We find the proposed scale of afforestation is unlikely to significantly alter regional hydrology; however, it can noticeably decrease low flows whilst not reducing high flows. The afforestation levels minimally impact hydrological processes compared to changes in precipitation, temperature, and CO2. Warming average temperatures (+3 °C) decreases streamflow, while rising precipitation (130 %) and CO2 (600 ppm) increase streamflow. Changes in high flow are generated because of evaporative parameterizations, whereas low flows are controlled by runoff model parameterizations. In this study, land surface parameters within a land surface model do not substantially alter hydrological processes when compared to climate.

Frameworks of primary care in Germany, Norway, Great Britain, the Netherlands and Italy—an overview

Zusammenfassung Hintergrund Die Gesundheitssysteme und mit ihnen die Ausgestaltung der hausärztlichen Versorgung unterscheiden sich in den einzelnen europäischen Ländern erheblich. Ziel des vorliegenden Beitrags ist die vergleichende Darstellung der Rahmenbedingungen der Primärversorgung in Deutschland, Großbritannien, Italien, den Niederlanden und Norwegen. Methoden Der Vergleich beruht primär auf den International Health Care System Profiles des Commonwealth Fund aus dem Jahre 2020, ergänzt durch publizierte Analysen einzelner Länder, internationale Befragungen und Vergleiche sowie publizierte Berichte von Hausärzt:innen über das Arbeiten in anderen Ländern. Ergebnisse Gemessen am Bruttosozialprodukt hat Deutschland die höchsten Gesundheitsausgaben, die Zahl der Krankenhausbetten ist mit Abstand am höchsten, gleichzeitig ist auch die Liegedauer vergleichsweise lang. Die unmittelbaren Rahmenbedingungen für die Primärversorgung unterscheiden sich in vieler Hinsicht deutlich zwischen den einzelnen Ländern, z. B. im Hinblick auf die Gatekeeper-Funktion, das Vergütungssystem, die Praxisgröße und die Teamzusammensetzung. Internationale Befragungen zeigen, dass die mittlere Wochenarbeitszeit und die Zahl der Patientenkontakte in Deutschland mit Abstand am höchsten sind. Die Arbeitszufriedenheit ist in Deutschland und aktuell in Großbritannien geringer als in den anderen Ländern. Diskussion Unser Vergleich verdeutlicht die zum Teil massiven Unterschiede in den betrachteten Ländern. Mehrere Indikatoren sprechen dafür, dass die Rahmenbedingungen der Primärversorgung in Deutschland trotz der insgesamt hohen Gesundheitsausgaben im internationalen Vergleich nicht besonders günstig sind.

Measuring political radicalism and extremism in surveys: Three new scales.

This paper introduces three new scales to measure left- and right-wing radical as well as general extremist attitudes that can be applied across Western European countries. We therefore propose a thorough conceptualization of extremist attitudes that consists of two dimensions: general extremism, by which we understand attitudes that oppose the constitutional democratic state, and another dimension that differentiates between right- and left-wing radicalism by which we understand people who take far-reaching but often one-sided positions on political issues (e.g., on nationalism or anti-imperialism) by advocating fundamental socio-political change. Based on data from Germany, Great Britain, and the Netherlands (n = 6,201) we created short indices for general extremism and left- and right-wing radicalism. We check for convergence validity by assessing the psychometric properties of the extracted indices, i.e. their internal coherence and the degree to which a scale is able to distinguish strongly extremist and non-extremist individuals. Finally, we correlate the scales with various constructs that are likely related to extremist attitudes in order to assure external or construct validity. The results indicate that the three scales are highly valid and applicable across three Western European countries. Overall, we find that about two to four percent of citizens in each country hold left-wing or right-wing extremist attitudes.

Jan Pajor, Great Britain’s Stance Towards Political Changes in China in the Years 1908–1909

Between 1908 and 1909, significant political changes took place in China. Following the death of the nominal sovereign, Guangxu, and the Empress Dowager Cixi, who exercised real power, the minor Puyi was selected as the new emperor. The regency was assumed by the weak and inept Prince Chun, who dismissed the most influential imperial dignitary, Yuan Shikai, in early 1909. When the second major dignitary, Zhang Zidong, died shortly later, the Beijing authorities found themselves in crisis. The article shows how Great Britain, which had the strongest position among the powers in China, reacted to these developments.

Private Keeping of Dangerous Wild Animals in Great Britain

We analysed the licences issued by British local government authorities under the Dangerous Wild Animals Act 1976, which regulates the private keeping of wild animals categorised as “dangerous”, to assess the scope and scale of private keeping of dangerous wild animals in Great Britain. Results are compared with historical data from England and Wales, showing that there has been an overall decrease both in the total population of dangerous wild animals privately kept under licence and the number of licences, resulting primarily from a decrease in the farming of wild boar and ostrich, and from certain other species no longer requiring a licence to be kept. Nonetheless, the private keeping of dangerous wild animals remains prevalent, with a total population of 3950 animals kept under licence, and at least one-third of local authorities in Britain licensing keepers of one or more such animals. The population of non-farmed dangerous taxa has increased by 59% in 20 years, with notable increases in crocodilians (198%), venomous snakes (94%), and wild cats (57%). We present evidence that the average cost of a licence to keep dangerous wild animals has fallen over time, and that there is a negative association between cost and licensing. The current schedule of species categorised as dangerous is compared to a formally recognised list of species kept in zoos assessed by risk to the public. Problems with the legislation, enforcement of the licensing system, and animal welfare for privately kept dangerous wild animals are identified and discussed.

Bimekizumab: A Review in Psoriatic Arthritis.

Although several biological disease-modifying antirheumatic drugs (bDMARDs), including interleukin (IL)-17A inhibitors, are approved for psoriatic arthritis, the treatment of this disease remains suboptimal. Bimekizumab (Bimzelx®), a dual IL-17A and IL-17F inhibitor, is approved in the EU, Great Britain and Japan for the treatment of psoriatic arthritis. In pivotal phase 3 clinical trials in patients who were bDMARD-naïve or previously had an inadequate response or intolerance to tumour necrosis factor (TNF) α inhibitors, bimekizumab improved the signs and symptoms of psoriatic arthritis across a range of joint, skin, radiographic and patient-reported outcomes compared with placebo, including the proportion of patients achieving a ≥ 50% response in the American College of Rheumatology criteria. Phase 2 clinical trial data have shown that responses are maintained up to 3 years. Bimekizumab was generally well tolerated in patients with psoriatic arthritis, with a safety profile consistent with that in other approved indications. The most common adverse events included nasopharyngitis, upper respiratory tract infection, oral candidiasis, headache and diarrhoea. In conclusion, bimekizumab extends the treatment options available to patients with psoriatic arthritis.

Engagement and online mathematics enrichment for secondary students

Abstract Online may not be the ideal format for a mathematics enrichment event, but in some circumstances, it may be the only option available. This article considers a mathematics enrichment programme consisting of a series of masterclasses which were held live online for secondary students in the UK during the Covid-19 pandemic. The series of masterclasses were part of the Royal Institution of Great Britain’s Mathematics Masterclass Programme which runs annually across the UK. In this study, we investigate how and to what extent students were able to engage with this series of online masterclasses. Learner engagement is researched through in-session observations, student work, attendance data, participant feedback and interviews. While the online masterclass series lost some of its traditional in person features, such as hands-on live social interaction and a university environment, it appeared that the participants perceived the online sessions as interactive enabling them to both enjoy the sessions and enjoy learning mathematics in the sessions. The evidence found suggests that the participating students could engage behaviourally, emotionally and cognitively in online mathematics enrichment. However, constructing mathematical knowledge in online sessions can be difficult for some students and social interaction may need to rely on existing social groups among school friends.

Patent Mining on the Use of Antioxidant Phytochemicals in the Technological Development for the Prevention and Treatment of Periodontitis

Periodontal disease is an inflammatory condition characterized by an aberrant immune response against a dysbiotic dental biofilm, with oxidative stress performing an essential role in its pathogenesis. This paper presents a patent mining, performed in the Orbit Intelligence patent database, related to antioxidant phytochemicals in the technological developments that are working to prevent and treat periodontal disease. To access the documents, the descriptors “PERIODONTAL” and “ANTIOXIDANT” were typed in the title, abstract, and claim search fields. A total of 322 patents demonstrate the growing interest in researching natural antioxidants for scientific and technological purposes. The top ten countries regarding the number of family patents produced were the United States, the European Office, Japan, South Korea, China, India, Mexico, Denmark, Canada, and Great Britain. The most cited compounds were vitamin C, green tea, quercetin, melatonin, lycopene, resveratrol, and curcumin. These compounds have been used for the technological development of gels, membranes, dentifrices, chewing gum, orally disintegrating film, mouthwash, mouth spray, and mouth massage cream and exhibit the ability to neutralize free radicals and reduce oxidative stress, a critical factor in the development and progression of periodontal diseases. The patent documents have shown that using antioxidant compounds in conjunction with traditional periodontal treatments is a promising area of interest in periodontal therapy.

The Ethical Principles in Ethical Guidance Documents during the COVID-19 Pandemic in the United Kingdom and the Republic of Ireland: A Qualitative Systematic Review.

The sudden onset of the coronavirus disease 2019 (COVID-19) pandemic was accompanied by a myriad of ethical issues that prompted the issuing of various ethical guidance documents for health care professionals in clinical, research, and public health settings throughout the United Kingdom (UK) of Great Britain and Northern Ireland and the Republic of Ireland. The aim of this review was to identify the main principles in ethical guidance documents published in the UK and Ireland during the COVID-19 pandemic. This review used a qualitative systematic review methodology with thematic synthesis to analyze the included ethics-related guidance documents, as defined in this review, published in the UK and Ireland from March 2020 through March 2022. The search included a general search in Google Scholar and a targeted search on the websites of the relevant professional bodies and public health authorities in the two countries. The ethical principles in these documents were analyzed using the constant comparative method (CCM). Forty-four guidance documents met the inclusion and exclusion criteria. Ten main ethical principles were identified, namely: fairness, honesty, minimizing harm, proportionality, responsibility, autonomy, respect, informed decision making, duty of care, and reciprocity. The guidelines did not present the ethical principles in equal detail. Some principles lacked definitions, leaving them vulnerable to misinterpretation by the documents' end users. Priority was frequently given to collectivist ethics over individualistic approaches. Further clarity is required in future ethical guidance documents to better guide health care professionals in similar situations.

The chiropractors' dilemma in caring for older patients with musculoskeletal complaints: Collaborate, integrate, coexist, or separate?

The world's elderly population is growing at a rapid pace. This has led to an increase in demand on the health and welfare systems due to age-related disorders, with musculoskeletal complaints driving the need for rehabilitation services. However, there are concerns about health services' ability to meet this demand. While chiropractic care is gaining recognition for its benefits in treating older adults with musculoskeletal disorders, there is limited scientific literature on chiropractors' role and experiences in this area. To bridge this gap, we interviewed 21 chiropractors in Great Britain, the Netherlands, Norway, and Sweden. Inductive qualitative content analysis was used to analyse the interviews, and despite differences in integration and regulation between the countries, several common facilitators and barriers in caring for and managing older patients with musculoskeletal complaints emerged. While participants expressed optimism about future collaborations with other healthcare professionals and the integration of chiropractic into national healthcare systems, they also highlighted significant concerns regarding the existing healthcare infrastructure. The participants also felt that chiropractors, with their non-surgical and holistic approach, were well-positioned to be the primary point of contact for older patients. However, there were some common barriers, such as the affordability of care, limited integration of chiropractic, and the need to prioritise musculoskeletal complaints within public healthcare. Our findings suggest that chiropractors experience their clinical competencies as an underutilised resource in the available healthcare systems and that they could contribute to and potentially reduce the escalating burden of musculoskeletal complaints and associated costs among older patients. Additionally, our findings highlight the desire among the participants to foster collaboration among healthcare professionals and integrate chiropractic into the national public healthcare system. Integrating chiropractors as allied health professionals was also perceived to improve coordinated, patient-centred healthcare for older adults.

Two novel Raoultella species associated with bleeding cankers of broadleaf hosts, Raoultella scottia sp. nov. and Raoultella lignicola sp. nov.

Seventeen Gram-negative, facultatively anaerobic bacterial strains were isolated from bleeding cankers of various broadleaf hosts and oak rhizosphere soil in Great Britain. The strains were tentatively identified as belonging to the genus Raoultella based on 16S rRNA gene sequencing. Multilocus sequence analysis (MLSA), based on four protein-encoding genes (fusA, leuS, pyrG, and rpoB), separated the strains into three clusters within the Raoultella genus clade. The majority of strains clustered with the type strain of Raoultella terrigena, with the remaining strains divided into two clusters with no known type strain. Whole genome sequencing comparisons confirmed these two clusters of strains as belonging to two novel Raoultella species which can be differentiated phenotypically from their current closest phylogenetic relatives. Therefore, two novel species are proposed: Raoultella scottia sp. nov. (type strain = BAC 10a-01-01T = LMG 33072T = CCUG 77096T) and Raoultella lignicola sp. nov. (type strain = TW_WC1a.1T = LMG 33073T = CCUG 77094T).