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In a zone of improved upland pasture some 2 km east of the Cistercian monastery of Strata Florida (Ystrad Fflur), Ceredigion, are the earthwork remains of a 'sheepcote' and four abandoned medieval farms, one probably originating as a monastic sheep-handling station. Documentary evidence and field observation suggest that these farms have preserved their late-medieval forms in a relatively unmodified state. Three were apparently situated along a contemporary ffridd boundary (head dyke) that separated a zone of pasture and perhaps arable land from mountain pasture. We cannot establish the relationship between the 'sheepcote' and the 'farms' through field observation alone, nor do we know the absolute age of the ffridd boundary. Our paper describes and briefly discusses the character and local context of the area defined by the latter. The pattern of land-use is comparable to that in Swaledale (North Yorkshire), an area that has been discussed on the one hand in terms of patterns of townships (hamlets) and their land-use zones, and on the other in terms of monastic enterprise and the identification of 'vaccaries'. In the study of 'monastic landscapes', we risk becoming preoccupied with estate economies and the identification of 'tool-kits', at the expense of dealing with the complexity of relationships between monasteries and local communities. [ABSTRACT FROM AUTHOR]

It is argued that the field data do not support the claims made by Tilley in his A Phenomenology of Landscape (1994) for intentional relationships between the placing of Welsh megalithic tombs and natural features of the landscape. The critique relates to sample quality, observational rigour and failure to examine alternative hypotheses concerning the siting factors involved in the placing of the tombs. [ABSTRACT FROM AUTHOR]

Purpose: To describe critical care patients with COVID-19 across England, Wales and Northern Ireland and compare them with a historic cohort of patients with other viral pneumonias (non-COVID-19) and with international cohorts of COVID-19. Methods: Extracted data on patient characteristics, acute illness severity, organ support and outcomes from the Case Mix Programme, the national clinical audit for adult critical care, for a prospective cohort of patients with COVID-19 (February to August 2020) are compared with a recent retrospective cohort of patients with other viral pneumonias (non-COVID-19) (2017–2019) and with other international cohorts of critical care patients with COVID-19, the latter identified from published reports. Results: 10,834 patients with COVID-19 (70.1% male, median age 60 years, 32.6% non-white ethnicity, 39.4% obese, 8.2% at least one serious comorbidity) were admitted across 289 critical care units. Of these, 36.9% had a PaO2/FiO2 ratio of ≤ 13.3 kPa (≤ 100 mmHg) consistent with severe ARDS and 72% received invasive ventilation. Acute hospital mortality was 42%, higher than for 5782 critical care patients with other viral pneumonias (non-COVID-19) (24.7%), and most COVID-19 deaths (88.7%) occurred before 30 days. Meaningful international comparisons were limited due to lack of standardised reporting. Conclusion: Critical care patients with COVID-19 were disproportionately non-white, from more deprived areas and more likely to be male and obese. Conventional severity scoring appeared not to adequately reflect their acute severity, with the distribution across PaO2/FiO2 ratio categories indicating acutely severe respiratory disease. Critical care patients with COVID-19 experience high mortality and place a great burden on critical care services. [ABSTRACT FROM AUTHOR]

A correction to this paper has been published: https://doi.org/10.1007/s00134-021-06413-2 [ABSTRACT FROM AUTHOR]