Tuesday, April 23, 2024

 

Same species, different sizes: Rare evolution in action spotted in island bats




UNIVERSITY OF MELBOURNE
Comparison of bat body size 

IMAGE: 

A COMPARISON OF THE BODY SIZES OF THE SMALLER HIPPOSIDEROS DIADEMA BAT AND THE LARGER H. DINOPS.

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CREDIT: TYRONE LAVERY





A University of Melbourne researcher has spotted a rare evolutionary phenomenon happening rapidly in real time in bats living in the Solomon Islands.

Dr Tyrone Lavery reports in a paper published in Evolution that two groups of leaf-nosed bats with vastly different body sizes that were thought to be separate species are an example of a rare type of parallel evolution. Parallel evolution is when different populations living in similar environments evolve similar features independently.

The smaller bat, Hipposideros diadema, is found across its six main islands and many smaller islands. It is also common in South East Asia, Papua New Guinea and parts of northern Australia. The much larger bats were named in 1905 as H. dinops, or Fierce Leaf-Nosed Bat, and are found only in the Solomon Islands. The two sizes live together on most islands, which all have similar forested habitat.

“Although they are very different sizes, the bats’ DNA is very similar. They use very different sonar frequencies, they probably eat different food, and even when they live in the same cave together they don’t interbreed. That is why no one has ever really questioned whether they were different species,” Dr Lavery said.

Dr Lavery said despite their independent origins, each group of larger bats has evolved to look the same, averaging more than double the weight of the small bat. “Our research suggests the rapid and repeated evolution of larger bodied bats from smaller bats, each happening independently on separate islands,” he said.

“When we created family trees using the bats’ DNA, we found that what we thought was just one species of large bat in the Solomon Islands was actually a case where bigger bats had evolved from the smaller species multiple times across different islands,” he said.

This type of parallel evolution arising from separated populations of the same species has only been observed in action a few times before and is believed to be the first time it has been documented in real time in mammals.

Parallel evolution has been found in parts of the world when populations are geographically separated but live in similar environments – such as different islands or lakes. One common type of parallel evolution is convergent evolution. For example thylacines and wolves are two separate species with different origins that evolved separately to look similar. But Dr Lavery said it was rare to see two isolated populations of the same species go through the same evolutionary process.

“Something very strong is pushing or selecting for these big bats, and it is strong enough for it to happen multiple times on different islands. We think these larger bats might be evolving to take advantage of prey that the smaller bats aren’t eating. Although they could probably interbreed, they don’t for some reason,” he said.

Across the islands, the sonar frequencies of larger bats are lower and suited to hunting bigger prey, while the smaller bats use a higher frequency. This probably means the larger bats are eating larger insects, or even frogs, Dr Lavery said.

Measuring 103 bat specimens from the Australian Museum, Queensland Museum, University of Kansas Natural History Museum, and the Bernice Pauahi Bishop Museum in Hawaii, Dr Lavery also found no overlap in body size between the two groups – the smaller “species” was always easily identified from the larger bats.

“Over time larger body size may have been part of behavioural and physical adaptations needed to hunt larger prey. This might mean the bigger and smaller bats no longer recognise each other as mates, and so they live separate lives.”

Dr Lavery said this parallel evolution pattern in leaf-nosed bats had been observed in Solomon Islands on Guadalcanal and in the Western Province, and more research was needed to see if the same pattern was repeated on other islands.

“We may think of evolution as very slow process, but it can happen rapidly when the conditions are right and two groups are separated and stop interbreeding. They can begin to evolve on different pathways,” he said.

“Islands are famous for helping us to observe and understand the processes for how species evolve in real time. They’re also places that are very vulnerable to the types of disturbance created by humans create. It’s important that we look after these incredible landscapes in Solomon Islands before we lose these stories even before we find them.”

A University of Melbourne researcher has spotted a rare evolutionary phenomenon happening rapidly in real time in bats living in the Solomon Islands.

Dr Tyrone Lavery reports in a paper published in Evolution that two groups of leaf-nosed bats with vastly different body sizes that were thought to be separate species are an example of a rare type of parallel evolution. Parallel evolution is when different populations living in similar environments evolve similar features independently.

The smaller bat, Hipposideros diadema, is found across its six main islands and many smaller islands. It is also common in South East Asia, Papua New Guinea and parts of northern Australia. The much larger bats were named in 1905 as H. dinops, or Fierce Leaf-Nosed Bat, and are found only in the Solomon Islands. The two sizes live together on most islands, which all have similar forested habitat.

“Although they are very different sizes, the bats’ DNA is very similar. They use very different sonar frequencies, they probably eat different food, and even when they live in the same cave together they don’t interbreed. That is why no one has ever really questioned whether they were different species,” Dr Lavery said.

Dr Lavery said despite their independent origins, each group of larger bats has evolved to look the same, averaging more than double the weight of the small bat. “Our research suggests the rapid and repeated evolution of larger bodied bats from smaller bats, each happening independently on separate islands,” he said.

“When we created family trees using the bats’ DNA, we found that what we thought was just one species of large bat in the Solomon Islands was actually a case where bigger bats had evolved from the smaller species multiple times across different islands,” he said.

This type of parallel evolution arising from separated populations of the same species has only been observed in action a few times before and is believed to be the first time it has been documented in real time in mammals.

Parallel evolution has been found in parts of the world when populations are geographically separated but live in similar environments – such as different islands or lakes. One common type of parallel evolution is convergent evolution. For example thylacines and wolves are two separate species with different origins that evolved separately to look similar. But Dr Lavery said it was rare to see two isolated populations of the same species go through the same evolutionary process.

“Something very strong is pushing or selecting for these big bats, and it is strong enough for it to happen multiple times on different islands. We think these larger bats might be evolving to take advantage of prey that the smaller bats aren’t eating. Although they could probably interbreed, they don’t for some reason,” he said.

Across the islands, the sonar frequencies of larger bats are lower and suited to hunting bigger prey, while the smaller bats use a higher frequency. This probably means the larger bats are eating larger insects, or even frogs, Dr Lavery said.

Measuring 103 bat specimens from the Australian Museum, Queensland Museum, University of Kansas Natural History Museum, and the Bernice Pauahi Bishop Museum in Hawaii, Dr Lavery also found no overlap in body size between the two groups – the smaller “species” was always easily identified from the larger bats.

“Over time larger body size may have been part of behavioural and physical adaptations needed to hunt larger prey. This might mean the bigger and smaller bats no longer recognise each other as mates, and so they live separate lives.”

Dr Lavery said this parallel evolution pattern in leaf-nosed bats had been observed in Solomon Islands on Guadalcanal and in the Western Province, and more research was needed to see if the same pattern was repeated on other islands.

“We may think of evolution as very slow process, but it can happen rapidly when the conditions are right and two groups are separated and stop interbreeding. They can begin to evolve on different pathways,” he said.

“Islands are famous for helping us to observe and understand the processes for how species evolve in real time. They’re also places that are very vulnerable to the types of disturbance created by humans create. It’s important that we look after these incredible landscapes in Solomon Islands before we lose these stories even before we find them.”

A photo of H.Dinops in a cave in the Solomon Islands.

H.diadama

CREDIT

Tyrone Lavery

 

Rise seen in use of antibiotics for conditions they can’t treat – including COVID-19



Five-year trend study shows rebound in inappropriate use after an early-pandemic dip, and a need to tackle overuse in all patients during viral illness outbreaks



MICHIGAN MEDICINE - UNIVERSITY OF MICHIGAN





America is going the wrong way when it comes to prescribing antibiotics, with 1 in 4 prescriptions going to patients who have conditions that the drugs won’t touch, a new study finds.

In fact, the percentage of all antibiotic prescriptions given to treat conditions they’re useless against was even higher in December 2021 than it was before the pandemic began, the study shows.

And that means more chances for disease-causing bacteria to evolve in ways that could make antibiotics useless for the patients who truly need them.

The percentage of people getting antibiotics for inappropriate reasons actually decreased a bit in the early months of the pandemic, when far fewer people sought medical care for infectious or non-infectious reasons, the new research shows. But it got back on the wrong track soon after.

The study, published in the journal Clinical Infectious Diseases by a team from the University of Michigan, Northwestern University and Boston Medical Center, is based on data from more than 37.5 million children and adults covered by private insurance or Medicare Advantage plans from 2017 to 2021. Patients received antibiotic prescriptions from both in-person and telehealth visits.

The team looked back at any new diagnosis given to each patient on the day they received a prescribed antibiotic, or in the three days prior to getting the prescription. If none of these diagnoses justified the use of antibiotics, they classified the prescription as inappropriate.

“Our study shows that the decline in exposure to inappropriate antibiotic prescriptions during the pandemic was only temporary,” says lead author Kao-Ping Chua, M.D., Ph.D., a pediatrician and health care researcher in the Department of Pediatrics at the U-M Medical School. “Our findings highlight the continued importance of quality improvement initiatives focused on preventing unnecessary antibiotic prescribing and antimicrobial resistance, which kills 48,000 Americans per year.”

Chua is a member of the Susan B. Meister Child Health Evaluation and Research center, and the U-M Institute for Healthcare Policy and Innovation, and has a joint appointment in the U-M School of Public Health.

Key findings:

  • In all, 60.6 million antibiotic prescriptions were dispensed in the five years of the study period from January 2017 to December 2021. The share that were inappropriate rose from 25.5% to 27.1% during this period. 
  • The proportion of people getting inappropriate antibiotics was 1.7% in December 2019, dipped to 0.9% in April 2020 – largely because fewer people get antibiotics in general – and returned to 1.7% by December 2021.
  • Some groups of people were more likely to receive inappropriate antibiotics. At the end of 2021, 30% of antibiotics for older adults with Medicare Advantage coverage were inappropriate, compared with 26% of antibiotics for adults with private health insurance and 17% of antibiotics for children with private insurance.
  • Among the diagnoses listed for people who received antibiotics for inappropriate reasons, “contact with and suspected exposure to COVID-19” was one of top two most common reasons from March 2020 through December 2021. There is no evidence that taking antibiotics after an exposure can reduce risk of developing COVID-19.
  • Of all the inappropriately prescribed antibiotics dispensed in the last half of 2021, 15% were for a COVID-19 infection. And COVID-19 infections accounted for 2% of all antibiotic prescribing – regardless of appropriateness -- from March 2020 through December 2021.
  • Telehealth appointments accounted for 9% of all inappropriate antibiotic prescriptions in the latter half of 2021, down somewhat from 2020. There were almost no telehealth-based antibiotic prescriptions before March 2020.
  • For 28% to 32% of the antibiotic prescriptions filled by patients in the study period, there was no diagnosis available to judge appropriateness, potentially because the patient received the prescription at an appointment that didn’t get billed to their insurance, or it was a refill of a past prescription. The percentage was especially high in the first months of the pandemic.
  • 45% of all the patients in the study received antibiotics at least once in the five years, and 13% received them four or more times.

In addition to Chua, the study’s authors are Michael Fischer, MD, MS of the Boston Medical Center, statistician Moshiur Rahman, PhD of CHEAR, and Jeffrey Linder, MD, MPH of Northwestern University.

The study did not involve external funding.

Citation: Changes in the Appropriateness of U.S. Outpatient Antibiotic Prescribing after the COVID-19 Outbreak: An Interrupted Time Series Analysis of 2016-2021 Data, Clinical Infectious Diseases. DOI: 10.1093/cid/ciae135 

https://academic.oup.com/cid/advance-article-abstract/doi/10.1093/cid/ciae135/7655672?redirectedFrom=fulltext 

WOMAN'S HEALTH

Active military service may heighten women’s risk of having low birthweight babies


Findings highlight need for more female-specific research in armed forces, say study authors



BMJ





Active military service may heighten a woman’s risk of having a low birthweight baby, suggests a review of the available scientific evidence published online in the journal BMJ Military Health.

 

The findings highlight the need for more research specifically focused on women in the armed forces, and their reproductive health in particular, conclude the study authors.

Worldwide, increasing numbers of women are on active service in their country’s armed forces. The UK Armed Forces, for example, has set a target of 30% female representation by 2030. And more and more countries are deploying women in combat units, and in other challenging environments, such as submarines, note the study authors.

Mounting evidence suggests that stress experienced during pregnancy is associated with birth complications, such as preterm delivery and low birthweight. And a military career and lifestyle expose service personnel to a wide range of physical, mental, and environmental stressors that could potentially influence pregnancy outcomes.

The study authors therefore wanted to explore the potential impact of active military service on the risks of preterm labour and birth, low birthweight, and stillbirth.

They scoured research databases for relevant studies, and included 21 that met all the eligibility criteria in their analysis. The studies, which involved 650,628 women serving in the US military, were all published between 1979 and 2023.

Ten of the studies included a comparison group—usually the wives of active service personnel. By way of a proxy for those that didn’t include a comparator, the study authors drew on national data from the US National Vital Statistics for any given year.

Analysis of the study results indicated no heightened risk of preterm birth among pregnant active service women. But there were significant methodological differences; most studies had a moderate to high risk of bias; and several included only small sample sizes, caution the study authors.  

There was no observed association between branch of military service and increased risk of preterm birth, although again this should be interpreted cautiously as 5 studies included mixed service samples and the study design varied considerably, say the study authors.

There was no clear evidence for an increased risk of stillbirth among women on active military service, either.

But nearly two thirds (62.5%) of the studies concluded that women on active service may be at heightened risk of having a low birthweight baby, including one study with the lowest risk of bias. And 4 of the 5 studies that included a comparison group also indicated an increased risk of low birthweight.

Seven of the 8 studies reporting on low birthweight were carried out in single-service settings. Both of those from the US Air Force suggested a higher prevalence of low birthweight babies born to active duty military personnel.

But some 53% and 38% of the studies reporting on preterm birth and low birthweight, respectively, didn’t have a matched comparison group and relied on a proxy drawn from national statistical data. 

This introduces a risk of systematic error as the baseline characteristics of the two groups are inherently different, caution the study authors.

Women on active military service will also be medically screened before any tours of duty and will have fewer co existing conditions, while national data will include high risk and multiple pregnancies, they explain.

Only observational studies were included in the review, and the data collection methods and/or adjustment for influential factors varied, acknowledge the study authors. Only 8 studies reported on smoking status despite a high prevalence of smoking in the military and the fact that smoking is associated with several health issues before and during pregnancy.

The data also focused exclusively on the US military, which although unsurprising given that it is one of the largest in the world, this does limit the generalisability of the findings to armed forces personnel elsewhere, highlight the study authors.

Nevertheless, they conclude: This review highlights a need for more female-specific research in armed forces, beyond the US military setting, to inform military maternity pathways and policies in ways that safeguard mothers and their babies while enhancing military readiness.”

 

Excessive pregnancy weight gain and substantial postpartum weight retention common in military health care beneficiaries



THE OBESITY SOCIETY





ROCKVILLE, Md.— Compared to their civilian counterparts, excessive pregnancy weight gain is more frequent among military health care beneficiaries, in particular active duty personnel, and is associated with costly maternal/neonatal complications. Women in this sample with excessive pregnancy weight gain were also three times more likely to have substantial postpartum weight retention, according to a new study published in the journal Obesity, The Obesity Society’s (TOS) flagship journal.

Substantial weight retention at 12 months postpartum was also more common among military health care beneficiaries in this sample than previously documented in civilian samples. Postpartum weight retention is a key concern for the United States military because it impacts active duty women’s ability to pass their fitness tests and is also associated with long-term maternal overweight and obesity.

“These results emphasize the importance of weight management before, during and after pregnancy for military populations, given the high health care costs of weight-related health complications affecting the mother and baby as well as the importance of maintaining fitness in the active duty population,” said Rebecca Krukowski, PhD, professor, Department of Public Health Sciences, School of Medicine, University of Virginia, Charlottesville, Va. Krukowski is the corresponding author of the study.

Data for military health care beneficiaries were obtained from the Military Health System Data Repository. More than 48,000 women who had given birth in 2018 and 2019 were included. Researchers examined relationships among overweight and obesity, pregnancy weight gain, maternal and neonatal complications and substantial postpartum weight retention.

Pregnancy weight gain was determined by the amount of weight gained between a measured pre-pregnancy weight to a delivery weight. The amount of pregnancy weight gain was then compared to the national guidelines for pregnancy weight gain from the National Academy of Medicine. For body mass index, women were classified into four categories: underweight, healthy, overweight, and obesity based on the pre-pregnancy weight and height. Substantial postpartum weight retention was defined as retention of at least 10 pounds at 12-months postpartum compared with pre-conception weight. Clinical outcomes potentially related to pregnancy weight gain and body mass index were abstracted from the maternal and neonatal health care records. For maternal clinical outcomes, cases of preeclampsia, pregnancy-induced hypertension, gestational diabetes and caesarean delivery were identified. For neonatal outcomes, researchers identified infants who experienced intrauterine growth restriction, were small or large for gestational age, had low birth weight and had a neonatal intensive care unit admission.

Results showed that 75% of TRICARE beneficiaries had excessive pregnancy weight gain. Military spouses and other family members were less likely than active duty women to have excessive pregnancy weight gain. Those with excessive pregnancy weight gain and/or overweight or obesity were more likely to have maternal complications such as pregnancy-induced hypertension and cesarean delivery. The findings also showed that 42% of the military beneficiaries had substantial postpartum weight retention. Additionally, women with excessive pregnancy weight gain were three times more likely to have substantial postpartum weight retention. Researchers add that pregnancy-related weight gain above the national guidelines and substantial postpartum weight retention may make it challenging to regain the required fitness levels for active duty women and for these women (who want to serve their country) to maintain their career in the military. 

Other authors of the study include Wen You and Carol Copeland, Department of Public Health Sciences, School of Medicine, University of Virginia, Charlottesville, Va. Copeland is also with the 59th Medical Wing, Clinical Health Psychology, Joint Base San Antonio, Texas. Erin Solomon, Department of Psychology, University of Memphis, Memphis, Tenn.; Juan Lang, Department of Biostatistics, College of Public Health, University of Kentucky, Lexington, Ky.; Emily Stone, Geneva Foundation, Bethesda, Md.; Rosemary Estevez Burns, 59th Medical Wing, Clinical Health Psychology, Joint Base San Antonio, Texas; Zoran Bursac, Department of Biostatistics, Florida International University, Miami, Fla.; Marion E. Hare, Department of Preventative Medicine, University of Tennessee Health Science Center, Memphis, Tenn.; and Teresa M. Waters, Augusta University, Institute for Public and Preventative Health, Augusta, Ga.

The authors declared no conflicts of interest.

The study, titled “Overweight/Obesity, Gestational Weight Gain, Postpartum Weight Retention and Maternal/Neonatal Complications in the Military” will be published in the May 2024 issue of Obesity.

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The Obesity Society (TOS) is the leading organization of scientists and health professionals devoted to understanding and reversing the epidemic of obesity and its adverse health, economic and societal effects. Combining the perspective of researchers, clinicians, policymakers and patients, TOS promotes innovative research, education and evidence-based clinical care to improve the health and well-being of all people with obesity. For more information, visit www.obesity.org.