Summary 1. Temperate regions with fish communities dominated by cold‐water species (physiological optima <20 °C) are vulnerable to the effects of warming temperatures caused by climate change, including displacement by non‐native cool‐water (physiological optima 20–28 °C) and warm‐water fishes (physiological optima >28 °C) that are able to establish and invade as the thermal constraints on the expression of their life history traits diminish. 2. England and Wales is a temperate region into which at least 38 freshwater fishes have been introduced, although 14 of these are no longer present. Of the remaining 24 species, some have persisted but failed to establish, some have established populations without becoming invasive and some have become invasive. The aim of the study was to predict the responses of these 24 non‐native fishes to the warming temperatures of England and Wales predicted under climate change in 2050. 3. The predictive use of climate‐matching models and an air and water temperature regression model suggested that there are six non‐native fishes currently persistent but not established in England and Wales whose establishment and subsequent invasion would benefit substantially from the predicted warming temperatures. These included the common carp Cyprinus carpio and European catfish Silurus glanis, fishes that also exert a relatively high propagule pressure through stocking to support angling and whose spatial distribution is currently increasing significantly, including in open systems. 4. The potential ecological impacts of the combined effects of warming temperatures, current spatial distribution and propagule pressure on the establishment and invasion of C. carpio and S. glanis were assessed. The ecological consequences of C. carpio invasion were assessed as potentially severe in England and Wales, with impacts likely to relate to habitat destruction, macrophyte loss and increased water turbidity. However, evidence of ecological impacts of S. glanis elsewhere in their introduced range was less clear and so their potential impacts in England and Wales remain uncertain.

Introduction of the invasive Asian cyprinid fish Pseudorasbora parva into a 0.3 ha pond in England with a fish assemblage that included Cyprinus carpio, Rutilus rutilus and Scardinius erythrophthalmus resulted in their establishment of a numerically dominant population in only 2 years; density estimates exceeded 60 ind. m(-2) and they comprised > 99% of fish present. Stable isotope analysis (SIA) revealed significant trophic overlap between P. parva, R. rutilus and C. carpio, a shift associated with significantly depressed somatic growth in R. rutilus. Despite these changes, fish community composition remained similar between the ponds. Comparison with SIA values collected from an adjacent pond free of P. parva revealed a simplified food web in P. parva presence, but with an apparent trophic position shift for several fishes, including S. erythrophthalmus which appeared to assimilate energy at a higher trophic level, probably through P. parva consumption. The marked isotopic shifts shown in all taxa in the P. parva invaded pond (C-13-enriched, N-15 depleted) were indicative of a shift to a cyanobacteria-dominated phytoplankton community. These findings provide an increased understanding of the ecological consequences of the ongoing P. parva invasion of European freshwater ecosystems

This article is a review of the recent literature pertaining to the oral sequelae of eating disorders (EDs). Dentists are recognized as being some of the first health care professionals to whom a previously undiagnosed eating disorder patient (EDP) may present. However, despite the prevalence (up to 4 per cent) of such conditions in teenage girls and young adult females, there is relatively little published in the recent literature regarding the oral sequelae of EDs. This compares unfavourably with the attention given recently in the dental literature to conditions such as diabetes mellitus, which have a similar prevalence in the adult population. The incidence of EDs is increasing and it would be expected that dentists who treat patients in the affected age groups would encounter more individuals exhibiting EDs. Most of the reports in the literature concentrate on the obvious clinical features of dental destruction (perimolysis), parotid swelling and biochemical abnormalities particularly related to salivary and pancreatic amylase. However, there is no consistency in explanation of the oral phenomena and epiphenomena seen in EDs. Many EDPs are nutritionally challenged; there is a relative lack of information pertaining to non-dental, oral lesions associated with nutritional deficiencies.

ABSTRACT1. The topmouth gudgeon Pseudorasbora parva is a small Asian cyprinid species that has proved invasive throughout many European countries. Following an initial introduction into the wild in 1996, the species is now proving invasive in the UK, with at least 25 infested waters in England and Wales, of which 10 are known to have direct connection to a major river catchment.2. To demonstrate the threat of P. parva to fisheries in the UK, a case study is presented on a lake located in the Lake District of England where the species was introduced in 2000. The species rapidly established a breeding population that, by 2003, was the dominant species in size classes 570 mm. In 2004, they were the only species in the lake that produced young-of-the-year.3. Individual P. parva adopted the reproductive tactics of early maturity, multiple spawning, male dominance and male nest guarding; sexual dimorphism was manifested in larger body size of males. These traits were in contrast to the resident, native species of the lake, including roach Rutilus rutilus and gudgeon Gobio gobio, which adopted traits of later maturity and single spawning.4. This case study, therefore, revealed relatively rapid establishment of a P. parva population, their subsequent numerical dominance of the fish community, and the impediment of the recruitment of native fish. The implications for UK fisheries are concerning: should P. parva continue to disperse and individuals adopt similar traits as those in this case study, there may be few waters immune from their invasion, numerical dominance and subsequent impacts.

The aim of this paper is to detail a control programme of the invasive Asian cyprinid fish Pseudorasbora parva in the UK that was initiated in March 2005. Described as Europe's most invasive fish, P. parva presents a risk to native fishes through the transmission of a novel pathogen and undesirable impacts arising from processes including increased inter-specific competition. Populations have been recorded in 32 UK waters since their first recording outside of aquaculture in 1996; the majority are lakes \5 ha used for recreational angling in England. The aims of the control programme were to develop a basic evaluation framework that assesses populations by risk (high, medium and low), determine commensurate management actions according to that risk and then execute those actions. For populations assessed as 'high-risk', for example those that could result in P. parva dispersal into a river catchment, eradication was determined as the commensurate management action and six operations have since been completed, principally using rotenone, and all have been successful to date. For P. parva populations in sites evaluated as lower risk, techniques such as biomanipulation were determined as more appropriate actions and have been used to successfully reduce their abundance by [99%. To date, the total direct cost of this programme of sustained and on-going P. parva control is approximately £190,000.

INTRODUCTION Pleural drainage with chest tube insertion for thoracic trauma is a common and often life-saving technique. Although considered a simple procedure, complication rates have been reported to be 2-25%. We conducted a prospective cohort observational study of emergency pleural drainage procedures to validate the indications for pre-hospital thoracostomy and to identify complications from both pre-and in-hospital thoracostomies.PATIENTS AND METHODS Data were collected over a 7-month period on all patients receiving either pre-hospital thoracostomy or emergency department tube thoracostomy. Outcome measures were appropriate indications, errors in tube placement and subsequent complications.RESULTS Ninety-one chest tubes were placed into 52 patients. Sixty-five thoracostomies were performed in the field without chest tube placement. Twenty-six procedures were performed following emergency department identification of thoracic injury. Of the 65 pre-hospital thoracostomies, 40 (61%) were for appropriate indications of suspected tension pneumothorax or a low output state. The overall complication rate was 14% of which 9% were classified as major and three patients required surgical intervention. Twenty-eight (31%) chest tubes were poorly positioned and 15 (17%) of these required repositioning.CONCLUSIONS Pleural drainage techniques may be complicated and have the potential to cause life-threatening injury. Prehospital thoracostomies have the same potential risks as in-hospital procedures and attention must be paid to insertion techniques under difficult scene conditions. In-hospital chest tube placement complication rates remain uncomfortably high, and attention must be placed on training and assessment of staff in this basic procedure.

ABSTRACT1. The topmouth gudgeon Pseudorasbora parva has proved to be a highly invasive pest fish species in mainland Europe following introduction from Asia, and was first recorded in the wild in the UK in 1996. Distribution has increased markedly since 2002, with recordings now from 32 sites, the majority being lakes.2. In infested UK lakes, populations establish rapidly and become dominant in the fish community (often >97% by number); densities to over 60 m À2 have been recorded, with the majority of individuals 570 mm. The species also hosts a novel pathogen not previously recorded in the UK. It has, therefore, been identified as a significant concern to native fish communities and deserving of an appropriate response by regulatory authorities.3. Where populations have been detected in lakes with connection to river catchments, actions have been taken to prevent riverine dispersal. Control measures are put in place, and eradication programmes designed and initiated. This paper details case studies on three completed eradication operations, two that utilized the piscicide rotenone, the other, de-watering and disinfection.4. Each case study has, so far, been successful in eradicating the topmouth gudgeon population and has resulted in approximately 280 km of river length being protected from their dispersal. Application of rotenone was the most cost-effective eradication method at approximately £2 per m 2 of water area treated. 5. These case studies demonstrate that riverine dispersal of invasive fish from infested connected lakes can be prevented by eradication. Outputs can be used to develop a strategy to manage the increasing distribution of topmouth gudgeon } and other invasive, pest fish } in the UK.

The European barbel Barbus barbus is threatened in areas of its range because of its sensitivity to anthropogenic disturbance in riverine habitats and, in the UK, is indigenous to a relatively small number of eastflowing rivers, with nonindigenous populations present in other rivers following introductions for angling enhancement. Fish stock assessment surveys completed between 2002 and 2010 collated age and growth data from 20 rivers across their indigenous and nonindigenous UK range. Analyses revealed that individuals present in samples are of 21 years old, with growth rates highly variable between rivers. There was no relationship between growth rates and the maximum age of fish per river, and there was no difference in growth rates between their indigenous and nonindigenous ranges. A range of abiotic data were collated and analysed against the growth data; these analyses suggested higher mean growth rates were evident in rivers of higher biological water quality (expressed as British Monitoring Working Party Score) and higher mean air temperatures (used as a surrogate of water temperature). That growth of B. barbus was significantly and positively enhanced by increased biological water quality was in contrast to cyprinid fishes such as roach Rutilus rutilus and suggests that as river water quality continues to improve through reduced nutrient inputs, further ecological changes are likely in riverine fish communities.