International incidence and mortality trends of liver cancer: a global profile.

We examined the global incidence and mortality rates of liver cancer, and evaluated the association between incidence/mortality and socioeconomic development (Human Development Index [HDI] and Gross Domestic Product [GDP]) using linear regression analysis. The average annual percent change (AAPC) of the trends was evaluated from join-point regression analysis. The global incidence of liver cancer varied widely by nine-fold, and was negatively correlated with HDI (men: r = -0.232, p = 0.003; women: r = -0.369, p < 0.001) and GDP per capita (men: r = -0.164, p = 0.036; women: r = -0.212, p = 0.007). Its mortality showed a similarly negative correlation with both indices. The greatest incidence rise in men was observed in Poland (AAPC = 17.5, 95% C.I. = 5.6, 30.9) and Brazil (AAPC = 13.2, 95% C.I. = 5.9, 21.0), whereas Germany (AAPC = 6.6, 95% C.I = 2.0, 11.5) and Norway (AAPC = 6.5, 95% C.I. = 3.2, 10.0) had the greatest increase in women. The mortality rates paralleled the incidence rates in most countries. For mortality, Malta (AAPC = 11.5, 95% C.I. = 3.9, 19.8), Australia (AAPC = 6.8, 95% C.I. = 2.2, 11.5) and Norway (APCC = 5.6, 95% C.I. = 2.8, 8.5) reported the biggest increase among men; whilst Australia (AAPC = 13.4, 95% C.I. = 7.8, 19.4) and Singapore (AAPC = 7.7, 95% C.I. = 4.1, 11.5) showed the most prominent rise among women. These epidemiological data identified countries with potentially increasing trends of liver cancer for preventive actions.

Non-invasive assessment of liver fibrosis with transient elastography (FibroScan®): applying the cut-offs of M probe to XL probe.

UNLABELLED: BACKGROUND AND RATIONALE FOR THE STUDY: Limited studies have aimed to define the cut-offs of XL probe (XL cut-offs) for different stages of liver fibrosis, whereas those of M probe (M cut-offs) may not be applicable to XL probe. We aimed to derive appropriate XL cut-offs in overweight patients. Patients with liver stiffness measurement (LSM) by both probes were recruited. XL cut-offs probe for corresponding M cut-offs were derived from an exploratory cohort, and subsequently validated in a subgroup patients also underwent liver biopsy. The diagnostic accuracy of XL cut-offs to diagnose advanced fibrosis was evaluated. RESULTS: Total 517 patients (63% male, mean age 58) who had reliable LSM by both probes were included in the exploratory cohort. There was a strong correlation between the LSM by M probe (LSM-M) and LSM by XL probe (LSM-XL) (r² = 0.89, p < 0.001). A decision tree using LSM-XL was learnt to predict the 3 categories of LSM-M (< 6.0kPa, 6.0-11.9kPa and ≥ 12.0kPa), and XL cut-offs at 4.8kPa and 10.7kPa were identified. These cut-offs were subsequently validated in a cohort of 147 patients who underwent liver biopsy. The overall accuracy was 89% among 62 patients whose LSM-XL < 4.8kPa or ≥ 10.7kPa. These cut-offs would have avoided under-staging of fibrosis among patients with body mass index (BMI) > 25-30 kg/m2 but not > 30 kg/m2. CONCLUSIONS: XL cut-offs at 4.8kPa and 10.7kPa were the best estimates of 6.0kPa and 12.0kPa of M probe for patients with BMI > 25-30 kg/m2. Patients with BMI > 30 kg/m² might use M probe cut-offs for XL probe.

Distribution, ecology, life history, genetic variation, and risk of extinction of nonhuman primates from Costa Rica

We examined the association between geographic distribution, ecological traits, life history, genetic diversity, and risk of extinction in nonhuman primate species from Costa Rica. All of the current nonhuman primate species from Costa Rica are included in the study; spider monkeys (Ateles geoffroyi), howling monkeys (Alouatta palliata), capuchins (Cebus capucinus), and squirrel monkeys (Saimiri oerstedii). Geographic distribution was characterized accessing existing databases. Data on ecology and life history traits were obtained through a literature review. Genetic diversity was characterized using isozyme electrophoresis. Risk of extinction was assessed from the literature. We found that species differed in all these traits. Using these data, we conducted a Pearson correlation between risk of extinction and ecological and life history traits, and genetic variation, for widely distributed species. We found a negative association between risk of extinction and population birth and growth rates; indicating that slower reproducing species had a greater risk of extinction. We found a positive association between genetic variation and risk of extinction; i.e., species showing higher genetic variation had a greater risk of extinction. The relevance of these traits for conservation efforts is discussed.

Distribution, ecology, life history, genetic variation, and risk of extinction of nonhuman primates from Costa Rica.

We examined the association between geographic distribution, ecological traits, life history, genetic diversity, and risk of extinction in nonhuman primate species from Costa Rica. All of the current nonhuman primate species from Costa Rica are included in the study; spider monkeys (Ateles geoffroyi), howling monkeys (Alouatta palliata), capuchins (Cebus capucinus), and squirrel monkeys (Saimiri oerstedii). Geographic distribution was characterized accessing existing databases. Data on ecology and life history traits were obtained through a literature review. Genetic diversity was characterized using isozyme electrophoresis. Risk of extinction was assessed from the literature. We found that species differed in all these traits. Using these data, we conducted a Pearson correlation between risk of extinction and ecological and life history traits, and genetic variation, for widely distributed species. We found a negative association between risk of extinction and population birth and growth rates; indicating that slower reproducing species had a greater risk of extinction. We found a positive association between genetic variation and risk of extinction; i.e., species showing higher genetic variation had a greater risk of extinction. The relevance of these traits for conservation efforts is discussed.

Hábitos alimentarios del mapachÝn (Procyon lotor) (Carnivora: Procyonidae) en un bosque muy húmedo tropical costero de Costa Rica / Feeding habits of raccoon (Procyon lotor) (Carnivora: Procyonidae) in a coastal, tropical wet forest of Costa Rica

Raccoon (Procyon lotor) food habits were studied at Manuel Antonio National Park, a tropical rain forest in the Pacific coast of Costa Rica from May to December 1987, from September to December 1989 and from January to April 1990. A 134 feces sample size was used to assess the most important items in raccoon diet: two crab species (Gecarcinus quadratus and Cardisoma crassum) with a relative frequency of 0.94 in the rainy season of 1987, 0.76 in the rainy season of 1989 and 0.65 in the dry season of 1990. Fruits were the second category in importance, with relative frequencies of 0.09 for 1987, 0.32 for 1989 and 0.44 for 1990.

Monitoring Mammal Populations in Costa Rican Protected Areas under Different Hunting Restrictions.

It is necessary to assess whether the management of protected areas is achieving the objectives set for them. In particular, changes and trends in wildlife populations should be documented. We compared the 1990 abundance of mammals in two Costa Rican protected areas, Corcovado National Park (CNP) and Golfo Dulce Forest Reserve (GDFR), with similar environmental characteristics but different hunting restrictions and levels of protection. We also monitored the abundance of mammals in CNP over a 4-year period. We also devised an inexpensive method of monitoring tropical rainforest mammal populations in a timely and efficient manner. The method is based on the use of mammal track records and arboreal mammal sightings and requires little effort. With this method 20 mammal species were recorded at CNP and 15 at GDFR. Species were consistently less abundant in GDFR than in CNP, principally those species preferred by hunters. Species were grouped according to whether or not they are used as food and whether they are locally or globally threatened or not threatened. The abundance of all these groups of species in GDFR was 6-28% the abundance in CNP. During 1990-1994, overall mammal abundance in CNP remained relatively stable, but there was considerable variability among species. As a group, both species used for food and globally threatened species declined in abundance during that period in CNP. The abundance of all groups of species declined from 1992 to 1994, coinciding with a reduction in hunting vigilance at CNP. Evidence suggests that the main factor differentiating the abundance of mammals in the two protected areas, and at CNP during the study period, was the level of hunting. Golfo Dulce Forest Reserve seems to be achieving only partial success in protecting wildlife, whereas Corcovado National Park seems to be considerably more effective, although not entirely successful.

RESUMEN: Es necesario evaluar si el manejo de áreas protegidas está cumpliendo con sus objetivos establecidos. En particular, se deben documentar los cambios y tendencias de las poblaciones de vida silvestre. En este estudio comparamos la abundancia de los mamíferos durante 1990 en dos áreas protegidas de Costa Rica con características ambientales semejantes, pero con diferentes restricciones en cuanto a la cacería y diferentes niveles de protección: el Parque Nacional Corcovado (PNC) y la Reserva Forestal Golfo Dulce ( RFGD). También comparamos la abundancia de los mamíferos en el PNC durante un periodo de cuatro años (1990-1994). Además desarrollamos un método barato, basado en el registro de huellas de mamíferos y en avistamientos de mamíferos arborícolas. Este método requiere de poco esfuerzo y se puede usar para dar seguimiento a las poblaciones de mamíferos selváticos de manera rápida y eficiente. Con este método registramos la abundancia de 20 especies en el PNC y de 15 en la RFGD. Todas las especies fueron consistentemente menos abundantes en la RFGD que en el PNC, principalmente aquéllas preferidas por los cazadores. Agrupamos las especies según su uso o no como alimento y según si se consideran amenazadas o no, a nivel local o mundial. La abundancia de todos estos grupos de especies en la RFGD fue de entre 6 al 28% de su abundancia en el PNC. De 1990 a 1994 la abundancia general de los mamíferos en el PNC se mantuvo relativamente estable, pero hubo considerable variabilidad entre las especies. A nivel de grupo, la abundancia en el PNC de las especies utilizadas como alimento y aquéllas amenazadas mundialmente decayó durante ese periodo. La abundancia de todos los grupos decayó de 1992 a 1994, coincidiendo con una reducción en la vigilancia de las actividades de cacería en el PNC. La evidencia sugiere que el principal factor que distingue la abundancia de los mamíferos en las dos áreas protegidas, y en el PNC durante el periodo de estudio fue el nivel de cacería. El éxito de la Reserva Forestal Golfo Dulce en cuanto a la protección de la fauna parece ser parcial, mientras que en el Parque Nacional Corcovado parece ser considerablemente más eficiente, aunque no del todo exitoso.