Immediate-Onset Linear Effluvium Associated With High-Density Hair Transplantation: A Series of 28 Cases. / Efluvio en línea de aparición inmediata asociado a trasplante capilar de alta densidad: descripción de 28 casos.

We describe 28 patients who experienced effluvium with previously unreported features shortly after hair transplant surgery. Notable features were as follows: a) a linear morphology; b) immediate onset (1-3 days); c) association with dense-pack grafting in areas of receding hairline at the temples (Mickey Mouse pattern); d) a progressive increase in the diameter of the hair loss line (wave-like pattern); e) in some cases, subsequent concentric linear effluvium on the crown (donut pattern); and f) other forms of previously unreported immediate-onset effluvium. The linear morphology could be the result of dense packing, which can cause perilesional hypoxia and loss of miniaturized hairs around the recipient area. Since linear hair loss can cause patient concern about graft failure, we recommend taking images of transplanted and nontransplanted areas immediately after surgery and warning patients in advance about these transient effects, which are fully reversed in 3 months.

Large-sample-size assessment of socioeconomic predictors of community-level resource management occurrence.

Community-level resource management efforts are cornerstones in ensuring sustainable use of natural resources. Yet, understanding how community characteristics influence management practices remains contested. With a sample size of ≥725 communities, we assessed the effects of key community (i.e., socioeconomic) characteristics (human population size and density, market integration, and modernization) on the probability of occurrence of fisheries management practices, including gear, species, and spatial restrictions. The study was based in Solomon Islands, a Pacific Island country with a population that is highly dependent on coastal fisheries. People primarily dwell in small communities adjacent to the coastline dispersed across 6 island provinces and numerous smaller islands. We used nationally collected data in binomial logistic regression models to examine the likelihood of management occurrence, given socioeconomic context of communities. In contrast to prevailing views, we identified a positive and statistically significant association between both human population size and market integration and all 3 management practices. Human population density, however, had a statistically significant negative association and modernization a varied and limited association with occurrence of all management practices. Our method offers a way to remotely predict the occurrence of resource management practices based on key socioeconomic characteristics. It could be used to improve understanding of why some communities conduct natural resource management activities when statistical patterns suggest they are not likely to and thus improve understanding of how some communities of people beat the odds despite limited market access and high population density.

Los esfuerzos por manejar los recursos a nivel comunitario son pilares para garantizar el uso sustentable de los recursos naturales. Aun así, el conocimiento sobre cómo las características comunitarias influyen sobre las prácticas de manejo todavía está en discusión. Con un tamaño de muestra de ≥725 comunidades, evaluamos los efectos de las características (tamaño y densidad poblacional humana, integración del mercado y modernización) comunitarias (es decir, socioeconómicas) clave sobre la probabilidad de incidencia de las prácticas de manejo de las pesquerías, incluyendo el equipamiento, las especies y las restricciones espaciales. El estudio se ubicó en las Islas Salomón, un país isleño del Pacífico con una población altamente dependiente de las pesquerías costeras. En este país, las personas habitan principalmente en comunidades pequeñas adyacentes a la costa y dispersas en las seis provincias isleñas y en numerosas islas más pequeñas. Usamos datos recolectados en todo el país en unos modelos de regresión logística binomial para examinar la probabilidad de incidencia del manejo, dado el contexto socioeconómico de las comunidades. Contrario a las opiniones predominantes, identificamos una asociación positiva y estadísticamente significativa entre el tamaño poblacional humano y la integración del mercado y entre las tres prácticas de manejo. La densidad poblacional humana, sin embargo, tuvo una asociación negativa estadísticamente significativa y la modernización una asociación variada y limitada con la incidencia de las prácticas de manejo. Nuestro método ofrece una manera para predecir remotamente la incidencia de las prácticas de manejo de recursos con base en características socioeconómicas importantes. El método podría utilizarse para incrementar el conocimiento sobre cómo algunas comunidades llevan a cabo actividades de manejo de recursos naturales cuando los patrones estadísticos sugieren lo contrario y así mejorar el entendimiento de cómo algunas comunidades humanas superan todos los pronósticos a pesar del acceso limitado al mercado y la alta densidad poblacional. Evaluación de Muestras de Gran Tamaño de Pronosticadores Socioeconómicos de la Incidencia del Manejo de Recursos a Nivel Comunitario.

Scaling up private land conservation to meet recovery goals for grassland birds.

Long-term population declines have elevated recovery of grassland avifauna to among the highest conservation priorities in North America. Because most of the Great Plains is privately owned, recovery of grassland bird populations depends on voluntary conservation with strong partnerships between private landowners and resource professionals. Despite large areas enrolled in voluntary practices through U.S. Department of Agriculture's Lesser Prairie-chicken (Tympanuchus pallidicinctus) Initiative (LPCI), the effectiveness of Farm Bill investments for meeting wildlife conservation goals remains an open question. Our objectives were to evaluate extents to which Conservation Reserve Program (CRP) and LPCI-grazing practices influence population densities of grassland birds; estimate relative contributions of practices to regional bird populations; and evaluate percentages of populations conserved relative to vulnerability of species. We designed a large-scale impact-reference study and used the Integrated Monitoring in Bird Conservation Regions program to evaluate bird population targets of the Playa Lakes Joint Venture. We used point transect distance sampling to estimate density and population size for 35 species of grassland birds on private lands enrolled in native or introduced CRP plantings and LPCI-prescribed grazing. Treatment effects indicated CRP plantings increased densities of three grassland obligates vulnerable to habitat loss, and LPCI grazing increased densities of four species requiring heterogeneity in dense, tall-grass structure (α = 0.1). Population estimates in 2016 indicated the practices conserved breeding habitat for 4.5 million birds (90% CI: 4.0-5.1), and increased population sizes of 16 species , totaling 1.8 million birds (CI: 1.4-2.4). Conservation practices on private land benefited the most vulnerable grassland obligate species (AICc weight = 0.53). By addressing habitat loss and degradation in agricultural landscapes, conservation on private land provides a solution to declining avifauna of North America and scales up to meet population recovery goals for the most imperiled grassland birds.

Ampliación de la Conservación en Terrenos Privados para Cumplir los Objetivos de Recuperación para Aves de Pastizales Resumen La declinación a largo plazo de las poblaciones ha posicionado a la recuperación de la avifauna de los pastizales entre las prioridades de conservación más importantes en América del Norte. Debido a que la mayor parte de las Grandes Planicies es propiedad privada, la recuperación de las poblaciones de aves de los pastizales depende de la conservación voluntaria sumada a la colaboración entre los terratenientes privados y los profesionales de la gestión de recursos. A pesar de que varias áreas se encuentran inscritas en prácticas voluntarias por medio de la Iniciativa de la Gallina de Pradera Menor (Tympanuchus pallidicinctus) (IGPM), la efectividad de la inversión del Proyecto de Ley de Granjas para cumplir con los objetivos de conservación de fauna todavía permanece como una pregunta abierta. Nuestros objetivos se enfocaron en evaluar hasta qué punto el Programa de Reservas de Conservación (PRC) y las prácticas de forrajeo de la IGPM influyen sobre la densidad poblacional de las aves de los pastizales; estimar las contribuciones relativas de las prácticas para las poblaciones de aves regionales; y evaluar el porcentaje de poblaciones conservadas en relación con la vulnerabilidad de la especie. Diseñamos un estudio a gran escala con referencia de impactos y usamos el programa de Monitoreo Integrado en las Regiones de Conservación de Aves para evaluar los objetivos poblacionales de las aves del Proyecto Conjunto de Playa Lakes. Usamos un muestreo de distancia por puntos en transecto para estimar la densidad y el tamaño poblacional de 35 especies de aves de pastizales en los terrenos privados inscritos en plantaciones nativas o introducidas del PRC y en las zonas de forrajeo prescritas por la IGPM. Los efectos del tratamiento indicaron que las plantaciones del PRC incrementaron la densidad de tres especies estrictas de pastizales vulnerables a la pérdida del hábitat, mientras que el forrajeo de la LPCI incrementó la densidad de cuatro especies que requieren heterogeneidad en la estructura de pastos altos y gruesos (α = 0.1). Las estimaciones poblacionales indicaron que las prácticas conservaron el hábitat de reproducción para 4.5 millones de aves (90% IC 4.0 - 5.1) e incrementaron el tamaño poblacional de 16 especies, para un total de 1.8 millones de aves (IC 1.4 - 2.4). Las prácticas de conservación en terrenos privados beneficiaron a las especies estrictas de pastizales más vulnerables (peso AICc = 0.53). Al abordar la pérdida y degradación del hábitat en los paisajes agrícolas, la conservación en terrenos privados proporciona una solución para la avifauna en declinación de América del Norte y se amplía para cumplir con los objetivos de recuperación establecidos para las aves de pastizales que se encuentran en mayor peligro.

Abundance estimation of unmarked animals based on camera-trap data.

The rapid improvement of camera traps in recent decades has revolutionized biodiversity monitoring. Despite clear applications in conservation science, camera traps have seldom been used to model the abundance of unmarked animal populations. We sought to summarize the challenges facing abundance estimation of unmarked animals, compile an overview of existing analytical frameworks, and provide guidance for practitioners seeking a suitable method. When a camera records multiple detections of an unmarked animal, one cannot determine whether the images represent multiple mobile individuals or a single individual repeatedly entering the camera viewshed. Furthermore, animal movement obfuscates a clear definition of the sampling area and, as a result, the area to which an abundance estimate corresponds. Recognizing these challenges, we identified 6 analytical approaches and reviewed 927 camera-trap studies published from 2014 to 2019 to assess the use and prevalence of each method. Only about 5% of the studies used any of the abundance-estimation methods we identified. Most of these studies estimated local abundance or covariate relationships rather than predicting abundance or density over broader areas. Next, for each analytical approach, we compiled the data requirements, assumptions, advantages, and disadvantages to help practitioners navigate the landscape of abundance estimation methods. When seeking an appropriate method, practitioners should evaluate the life history of the focal taxa, carefully define the area of the sampling frame, and consider what types of data collection are possible. The challenge of estimating abundance of unmarked animal populations persists; although multiple methods exist, no one method is optimal for camera-trap data under all circumstances. As analytical frameworks continue to evolve and abundance estimation of unmarked animals becomes increasingly common, camera traps will become even more important for informing conservation decision-making.

Estimación de la Abundancia de Animales No Marcados con Base en Datos de Cámaras Trampa Resumen La rápida mejoría de las cámaras trampa en las décadas recientes ha revolucionado el monitoreo de la biodiversidad. A pesar de su clara aplicación en las ciencias de la conservación, las cámaras trampa han sido utilizadas pocas veces para modelar la abundancia de las poblaciones de animales no marcados. Buscamos resumir los retos que enfrenta la estimación de la abundancia de animales no marcados, compilar una perspectiva general de los marcos analíticos de trabajo existentes y proporcionar una guía para aquellos practicantes que buscan un método adecuado. Cuando una cámara registra múltiples detecciones de animales no marcados, no se puede determinar si las imágenes representan a diferentes individuos en movimiento o a un solo individuo que entra repetidamente a la zona de visión de la cámara. Sumado a esto, el movimiento animal ofusca una definición clara del área de muestreo y, como resultado, del área a la cual corresponde un estimado de abundancia. Después de reconocer estos retos, identificamos seis estrategias analíticas y revisamos 927 estudios con cámaras trampa publicados entre 2014 y 2019 para evaluar el uso y la prevalencia de cada método. Solamente en el 5% de los estudios se usó cualquiera de los métodos de estimación de abundancia que identificamos. La mayoría de estos estudios estimaron la abundancia local o las relaciones de covarianza en lugar de predecir la abundancia o la densidad a lo largo de áreas más amplias. Después, para cada estrategia analítica, recopilamos los requerimientos de datos, suposiciones, ventajas y desventajas para ayudar a los practicantes a navegar el paisaje de los métodos de estimación de abundancia. Cuando los practicantes busquen un método apropiado deberán evaluar la historia de vida del taxón focal, definir cuidadosamente el área del marco de muestreo y considerar cuáles tipos de recolección de datos son posibles. El reto de estimar la abundancia de poblaciones de animales no marcados persiste; aunque existan muchos métodos, no hay método único óptimo para los datos de las cámaras trampa que cumpla con todas las circunstancias. Mientras los marcos analíticos de trabajo sigan evolucionando y la estimación de la abundancia de animales no marcados sea cada vez más común, las cámaras trampa serán todavía más importantes para informar la toma de decisiones de conservación.

Vessel/perfusion density in two optical coherence tomographic angiography protocols: Interchangeable?

INTRODUCTION: Different optical coherence tomography angiography (OCTA) scanning protocols evaluate the macula. OBJECTIVE: To compare the determination coefficients (R2) between vessel and perfusion densities of two OCTA scanning protocols in order to determine if their metrics could be interchanged. METHOD: Cross-sectional, prospective, comparative, observational, study between two OCTA scanning protocols (Angioplex, Zeiss) in healthy subjects. The R2 between central, inner, and full densities (3 x 3 mm protocol) and between central, inner, outer and full densities (6 x 6 mm protocol) was identified, both for vessel and perfusion densities. RESULTS: Seventy-eight eyes were evaluated; subjects' median age was 23 years. There were high R2 between inner and full densities with the 3 x 3 mm protocol (0.96), between outer and full densities with the 6 x 6 mm protocol (0.96), and between central vessel and perfusion densities (≥ 0.96); R2 between central vessel and perfusion densities of different protocols was ≤ 0.71. CONCLUSIONS: Vessel and perfusion densities have high determination coefficients within a scanning protocol, but not between protocols, given that each one preferentially measures different macular areas. Metrics from different protocols should not be interchanged for follow up.

INTRODUCCIÓN: Distintos protocolos de angiotomografía de coherencia óptica evalúan la mácula. OBJETIVO: R2 entre las densidades vascular y de perfusión de dos protocolos de angiotomografía de coherencia óptica, para determinar si sus mediciones podían intercambiarse. MÉTODO: Estudio observacional, comparativo, prospectivo, transversal entre dos protocolos de angiotomografía de coherencia óptica (AngioPlex, Zeiss) en sujetos sanos. Se identificó la R2 entre las densidades vascular y de perfusión central, interna y completa (protocolo de 3 x 3 mm), y central, interna, externa y completa (protocolo de 6 x 6 mm). RESULTADOS: 78 ojos, mediana de edad 23 años. Hubo R2 altas entre las densidades interna y completa del protocolo de 3 x 3 mm (0.96), externa y completa del de 6 x 6 mm (0.96), y centrales vasculares y de perfusión (≥ 0.96); la R2 entre las densidades centrales vascular y de perfusión de distintos protocolos fue ≤ 0.71. CONCLUSIONES: Las densidades vasculares y de perfusión tienen R2 alta dentro de un protocolo, pero no entre protocolos, porque estos miden preferentemente zonas distintas, lo cual limita intercambiar mediciones.

Regional parafoveal vessel density changes in diabetic patients without retinopathy.

INTRODUCTION: Regional parafoveal vessel density changes have not been characterized in patients with type 2 diabetes without retinopathy. OBJECTIVE: To compare regional changes in vessel density between subjects without diabetes (group 1) and with diabetes without retinopathy (group 2). METHODS: Observacional, retrospective, cross-sectional, comparative study. Parafoveal vessel density by quadrants was compared between groups and between quadrants in each group; density of each quadrant and inner density were correlated, as well as the contribution of each quadrant to inner density (linear regression). RESULTS: Thirty-four eyes were analyzed in group 1 and 38 in group 2; in the latter, inner vessel density (20.75 vs. 21.85, p = 0.021) and that of superior quadrants (21.05 vs. 21.75, p < 0.001), and nasal quadrants (20.95 vs. 21.50, p = 0.023) were lower. In the regression analysis, superior and nasal quadrants had the largest contribution to the change in inner vessel density in group 2 (b = 0.361 and b = 0.294, respectively). CONCLUSIONS: Parafoveal inner vessel density decreases in diabetic patients without retinopathy at the expense of superior and nasal quadrants, which indicates that further evaluation is required for early microvascular disease to be detected.

INTRODUCCIÓN: Los cambios regionales de densidad vascular parafoveal no han sido caracterizados en los pacientes con diabetes tipo 2 sin retinopatía. OBJETIVO: Comparar los cambios regionales de densidad vascular entre sujetos sin diabetes (grupo 1) y con diabetes sin retinopatía (grupo 2). MÉTODOS: Estudio observacional, retrospectivo, transversal y comparativo. La densidad vascular parafoveal por cuadrantes se comparó entre grupos y entre cuadrantes en cada grupo; se correlacionó la densidad de cada cuadrante y la densidad interna, así como la contribución de cada cuadrante a la densidad interna (regresión lineal). RESULTADOS: Se analizaron 34 ojos en el grupo 1 y 38 en el grupo 2; en este fue menor la densidad vascular interna (20.75 versus 21.85, p = 0.021) y la de los cuadrantes superior (21.05 versus 21.75, p < 0.001) y nasal (20.95 versus 21.50, p = 0.023). En el análisis de regresión, los cuadrantes superior y nasal tuvieron la mayor contribución al cambio en la densidad vascular interna (b = 0.361, b = 0.294) en el grupo 2. CONCLUSIONES: La densidad vascular interna parafoveal disminuye en los pacientes diabéticos sin retinopatía, a expensas de los cuadrantes superior y nasal, por lo que se requiere evaluación adicional para detectar afecciones microvasculares tempranas.

Effects of rarity form on species' responses to land use.

Anthropogenic land-use change causes substantial changes in local and global biodiversity. Rare and common species can differ in sensitivity to land-use change; rare species are expected to be affected more negatively. Rarity may be defined in terms of geographic range size, population density, or breadth of habitat requirements. How these 3 forms of rarity interact in determining global responses to land use is yet to be assessed. Using global data representing 912 vertebrate species, we tested for differences in responses to land use of species characterized by different types of rarity. Land-use responses were fitted using generalized linear mixed-effects models, allowing responses to vary among groups of species with different forms of rarity. Species considered rare with respect to all 3 forms of rarity showed particularly strong declines in disturbed land uses (>40% of species and 30% of individuals in the most disturbed land uses). In contrast, species common both geographically and numerically and with broad habitat requirements showed strong increases (up to 90% increase in species and 40% in abundance in some land uses). Our results suggest that efforts to understand the vulnerability of species to environmental changes should account for different types of rarity where possible. Our results also have potentially important implications for ecosystem functioning, given that rare species may play unique roles within ecosystems.

Efectos de la Forma de Rareza sobre las Respuestas de las Especies ante el Uso de Suelo Sykes et al. Resumen Los cambios en el uso de suelo ocasionados por el humano causan modificaciones sustanciales en la biodiversidad local y mundial. Las especies raras y comunes pueden tener diferencias en la sensibilidad ante el cambio en el uso de suelo; generalmente se espera que las especcies raras se vean afectadas de manera más negativa. La rareza puede estar definida en términos del tamaño de la extensión geográfica, la densidad poblacional o la gama de requerimientos de hábitat. La manera en que interactúan estas tres formas de rareza para determinar las respuestas mundiales ante el uso de suelo todavía no ha sido evaluada. Buscamos diferencias en las respuestas ante el uso de suelo en especies caracterizadas por diferentes tipos de rareza. Para esto usamos datos mundiales que representaron a 912 especies de vertebrados. Las respuestas ante el uso de suelo fueron ajustadas con modelos lineales y generalizados de efectos mixtos, lo que permitió que las respuestas variaran entre los grupos de especies con diferentes formas de rareza. Las especies consideradas como raras con respecto a las tres formas de rareza mostraron declinaciones particularmente fuertes en los usos de suelos perturbados (>40% de las especies y 30% de los individuos en los usos de suelo más perturbados). Como contraste, las especies comunes tanto geográfica como numéricamente y con requerimientos amplios de hábitat mostraron incrementos sólidos (hasta un 90% de incremento de las especies y 40% en abundancia para algunos usos de suelo). Nuestros resultados sugieren que los esfuerzos para entender la vulnerabilidad de las especies ante los cambios ambientales deberían considerar los diferentes tipos de rareza cuando sea posible. Nuestros resultados también tienen implicaciones potencialmente importantes para el funcionamiento de los ecosistemas, dado que las especies raras pueden tener un papel único dentro del ecosistema.

Effects of crowding due to habitat loss on species assemblage patterns.

Terrestrial animals are negatively affected by habitat loss, which is assessed on a landscape scale, whereas secondary effects of habitat loss, such as crowding, are usually disregarded. Such impacts are inherently hard to address and poorly understood, and there is a growing concern that they could have dire consequences. We sampled birds throughout a deforestation process to assess crowding stress in an adjacent habitat remnant in the southern Brazilian Atlantic Forest. Crowding is expected of highly mobile taxa, especially given the microhabitat heterogeneity of Neotropical forests, and we hypothesized that the arrival of new individuals or species in refuges shifts assemblage patterns. We used point counts to obtain bird abundances in a before-after-control-impact design sampling of a deforestation event. Temporal changes in taxonomic and functional diversity were examined with metrics used to assess alpha and beta diversity, turnover of taxonomic and functional similarity, and taxonomic and functional composition. Over time increased abundance of some species altered the Simpson index and affected the abundance-distribution of traits in the habitat remnant. Taxonomic composition and functional composition changed in the remnant, and thus bird assemblages changed over time. Taxonomic and functional metrics indicated that fugitives affected resident assemblages in refuges, and effects endured >2 years after the deforestation processes had ceased. Dissimilarity of taxonomic composition between pre- and postdeforestation assemblages increased, whereas functional composition reverted to preimpact conditions. We found that ecological disruptions resulted from crowding and escalated into disruptions of species' assemblages and potentially compromising ecosystem functioning. It is important to consider crowding effects of highly mobile taxa during impact assessments, especially in large-scale infrastructure projects that may affect larger areas than is assumed.

Efectos del Amontonamiento debido a la Pérdida del Hábitat sobre los Patrones de Ensamblaje de las Especies Resumen Los animales terrestres se ven afectados negativamente por la pérdida del hábitat, la cual es evaluada con una escala de paisaje, mientras que los efectos secundarios de la pérdida del hábitat, como el amontonamiento, suelen ser ignorados. Dichos impactos son inherentemente difíciles de tratar y su entendimiento es muy pobre, además de que existe una preocupación creciente por las posibles consecuencias graves que podrían tener. Muestreamos aves durante un proceso de deforestación para evaluar el estrés por amontonamiento en un hábitat remanente contiguo a la parte sur del Bosque Atlántico Brasileño. Se espera que el amontonamiento ocurra en taxones con mucha movilidad, especialmente en el caso de los heterogéneos bosques Neotropicales, por lo que nuestra hipótesis consistió en suponer que la llegada a los refugios de nuevos individuos o especies modifica los patrones de ensamblado. Usamos el conteo por puntos para obtener la abundancia de las aves en un diseño de muestreo de antes-después-control-impacto de un evento de deforestación. Examinamos los cambios temporales en la diversidad taxonómica y funcional con medidas usadas para evaluar la diversidad alfa y beta, la rotación de la similitud taxonómica y funcional y la composición taxonómica y funcional. Con el tiempo, el incremento en la abundancia de algunas especies alteró el índice Simpson y afectó la abundancia y distribución de los caracteres en el hábitat remanente. La composición taxonómica y la composición funcional cambiaron en el hábitat remanente, por lo que los ensamblajes de aves cambiaron con el tiempo. Las medidas taxonómicas y funcionales indicaron que los individuos fugitivos afectaron a los ensamblajes de residentes en los refugios y sus efectos perduraron más de dos años después de que el proceso de deforestación había culminado. La disparidad de la composición taxonómica entre los ensamblajes antes y después de la deforestación incrementó, mientras que la composición funcional se revirtió a las condiciones previas al impacto. Encontramos que las perturbaciones ecológicas resultaron en el amontonamiento de especies y después escalaron hasta llegar a ser perturbaciones en el ensamblaje de las especies y potencial empobrecimiento del funcionamiento del ecosistema. Es importante considerar los efectos del amontonamiento de los taxones con mucha movilidad durante las evaluaciones de impacto ambiental, especialmente para proyectos con infraestructuras a gran escala que podrían afectar a un área mayor a la supuesta inicialmente.

Effects of body size on estimation of mammalian area requirements.

Accurately quantifying species' area requirements is a prerequisite for effective area-based conservation. This typically involves collecting tracking data on species of interest and then conducting home-range analyses. Problematically, autocorrelation in tracking data can result in space needs being severely underestimated. Based on the previous work, we hypothesized the magnitude of underestimation varies with body mass, a relationship that could have serious conservation implications. To evaluate this hypothesis for terrestrial mammals, we estimated home-range areas with global positioning system (GPS) locations from 757 individuals across 61 globally distributed mammalian species with body masses ranging from 0.4 to 4000 kg. We then applied block cross-validation to quantify bias in empirical home-range estimates. Area requirements of mammals <10 kg were underestimated by a mean approximately15%, and species weighing approximately100 kg were underestimated by approximately50% on average. Thus, we found area estimation was subject to autocorrelation-induced bias that was worse for large species. Combined with the fact that extinction risk increases as body mass increases, the allometric scaling of bias we observed suggests the most threatened species are also likely to be those with the least accurate home-range estimates. As a correction, we tested whether data thinning or autocorrelation-informed home-range estimation minimized the scaling effect of autocorrelation on area estimates. Data thinning required an approximately93% data loss to achieve statistical independence with 95% confidence and was, therefore, not a viable solution. In contrast, autocorrelation-informed home-range estimation resulted in consistently accurate estimates irrespective of mass. When relating body mass to home range size, we detected that correcting for autocorrelation resulted in a scaling exponent significantly >1, meaning the scaling of the relationship changed substantially at the upper end of the mass spectrum.

Efectos del Tamaño Corporal sobre la Estimación de los Requerimientos de Área de Mamíferos Resumen La cuantificación precisa de los requerimientos de área de una especie es un prerrequisito para que la conservación basada en áreas sea efectiva. Esto comúnmente implica la recolección de datos de rastreo de la especie de interés para después realizar análisis de la distribución local. De manera problemática, la autocorrelación en los datos de rastreo puede resultar en una subestimación grave de las necesidades de espacio. Con base en trabajos previos, formulamos una hipótesis en la que supusimos que la magnitud de la subestimación varía con la masa corporal, una relación que podría tener implicaciones serias para la conservación. Para probar esta hipótesis en mamíferos terrestres, estimamos las áreas de distribución local con las ubicaciones en GPS de 757 individuos de 61 especies de mamíferos distribuidas mundialmente con una masa corporal entre 0.4 y 4,000 kg. Después aplicamos una validación cruzada en bloque para cuantificar el sesgo en estimaciones empíricas de la distribución local. Los requerimientos de área de los mamíferos <10 kg fueron subestimados por una media ∼15% y las especies con una masa ∼100 kg fueron subestimadas en ∼50% en promedio. Por lo tanto, encontramos que la estimación del área estaba sujeta al sesgo inducido por la autocorrelación, el cual era peor para las especies de talla grande. En combinación con el hecho de que el riesgo de extinción incrementa conforme aumenta la masa corporal, el escalamiento alométrico del sesgo que observamos sugiere que la mayoría de las especies amenazadas también tienen la probabilidad de ser aquellas especies con las estimaciones de distribución local menos acertadas. Como corrección, probamos si la reducción de datos o la estimación de la distribución local informada por la autocorrelación minimizan el efecto de escalamiento que tiene la autocorrelación sobre las estimaciones de área. La reducción de datos requirió una pérdida de datos del ∼93% para lograr la independencia estadística con un 95% de confianza y por lo tanto no fue una solución viable. Al contrario, la estimación de la distribución local informada por la autocorrelación resultó en estimaciones constantemente precisas sin importar la masa corporal. Cuando relacionamos la masa corporal con el tamaño de la distribución local, detectamos que la corrección de la autocorrelación resultó en un exponente de escalamiento significativamente >1, lo que significa que el escalamiento de la relación cambió sustancialmente en el extremo superior del espectro de la masa corporal.

Profile of patients who visit medical internists for an osteoporosis assessment: The OSTEOMED registry. / Perfil de los pacientes que acuden al médico internista para valoración de osteoporosis: registro OSTEOMED.

BACKGROUND AND OBJECTIVES: Osteoporosis is considered a generalised skeletal disorder in which there is impaired bone resistance, which predisposes the individual to a greater risk of fracture. The aim of this cross-sectional study was to collect and present data on the main clinical characteristics of patients who consult medical internists in Spain. Understanding these characteristics can help in implementing action plans to improve these patients' care more effectively and efficiently. MATERIAL AND METHODS: Through an analysis of the Osteoporosis in Internal Medicine (OSTEOMED) registry, this study presents the main clinical characteristics of patients with osteoporosis who attended internal medicine consultations in 23 Spanish hospital centres between 2012 and 2017. We analysed the reasons for the consultations, the densitometric values, the presence of comorbidities, the prescribed treatment and other lifestyle-related factors. RESULTS: In total, 2024 patients with osteoporosis were assessed (89.87% women, 10.13% men). The patients' mean age was 64.1±12.1 years (women, 64.7±11.5 years; men, 61.2±14.2 years). There was no significant difference between the sexes in their history of recent falls (9.1% and 6.7%); however, there were significant differences in the daily intake of calcium from milk products (553.8±332.6mg for women vs. 450.2±303.3mg for men; P<.001) and in the secondary causes of osteoporosis (13% of men vs. 6.5% of women; P<.001). In the sample, there were 404 fractures (20%), with a notable number of confirmed vertebral fractures (17.2%, 35.6% in men vs. 15.2% in women; P<.001). A large portion of the patients did not undergo the indicated treatment and presented low levels of physical activity and sun exposure. A significant percentage of the patients presented associated comorbidities, the most common of which were hypertension (32%) and dyslipidaemia (28%). CONCLUSIONS: These results define the profile of patients with osteoporosis who attend internal medicine consultations in Spain. The results also show the multisystemic character of this condition, which, along with its high prevalence, determine that the specific internal medicine consultations dedicated to managing the condition are the appropriate place for caring for these patients.

Effects of publication bias on conservation planning.

Conservation planners need reliable information on spatial patterns of biodiversity. However, existing data sets are skewed because some ecosystems, taxa, and locations are underrepresented. We determined how many articles have been published in recent decades on the biodiversity of different countries and their constituent provinces. We searched the Web of Science catalogues Science Citation Index (SCI) and Social Science Citation Index (SSCI) for biodiversity-related articles published from 1993 to 2016 that included country and province names. We combined data on research publication frequency with other provincial-scale factors hypothesized to affect the likelihood of research activity (i.e., economic development, human presence, infrastructure, and remoteness). Areas that appeared understudied relative to the biodiversity expected based on site climate likely have been inaccessible to researchers for reasons, notably armed conflict. Geographic publication bias is of most concern in the most remote areas of sub-Saharan Africa and South America. Our provincial-scale model may help compensate for publication biases in conservation planning by revealing the spatial extent of research needs and the low cost of redoing this analysis annually.

Efectos del Sesgo de Publicación sobre la Planeación de la Conservación Resumen Los planeadores de la conservación necesitan información confiable sobre los patrones espaciales de la biodiversidad. Sin embargo, los conjuntos de datos existentes están distorsionados porque algunos ecosistemas, taxones y localidades están subrepresentados. Determinamos cuántos artículos sobre la biodiversidad de diferentes países y sus provincias constituyentes han sido publicados en décadas recientes. Buscamos artículos relacionados con la biodiversidad publicados entre 1993 y 2016 que incluyeran el nombre de países y provincias en los catálogos SCI y SSCI de la Web of Science. Combinamos los datos de frecuencia de publicación de investigaciones con otros factores de escala provincial que creemos afectarían la probabilidad de la actividad de investigación (es decir, desarrollo económico, presencia humana, infraestructura y lejanía). Las áreas que aparentaron estar poco estudiadas en relación con la biodiversidad esperada basada en el clima del sitio probablemente han estado inaccesibles para los investigadores por diferentes razones, notablemente los conflictos armados. El sesgo geográfico en las publicaciones es un tema de importancia para las áreas más remotas del África subsahariana y América del Sur. Nuestro modelo de escala provincial puede ayudar a compensar los sesgos de publicación en la planeación de la conservación al revelar la extensión espacial de las necesidades de investigación y los bajos costos de repetir este análisis cada año.

Conserving and managing the subnivium.

In regions where snowfall historically has been a defining seasonal characteristic of the landscape, warming winters have reduced the depth, duration, and extent of snowpack. However, most management and conservation has focused on how aboveground wildlife will be affected by altered snow conditions, even though the majority of species that persist through the winter do so under the snowpack in a thermally stable refugium: the subnivium. Shortened winters, forest management practices, and winter recreation can alter subnivium conditions by increasing snow compaction and compromising thermal stability at the soil-snow interface. To help slow the loss of the subnivium in the face of rapidly changing winter conditions, we suggest managers adopt regional conservation plans for identifying threatened snow-covered environments; measure and predict the effects land cover and habitat management has on local subnivium conditions; and control the timing and distribution of activities that disturb and compact snow cover (e.g., silvicultural practices, snow recreation, and road and trail maintenance). As a case study, we developed a spatially explicit model of subnivium presence in a working landscape of the Chequamegon National Forest, Wisconsin. We identified landscapes where winter recreation and management practices could threaten potentially important areas for subnivium persistence. Similar modeling approaches could inform management decisions related to subnivium conservation. Current climate projections predict that snow seasons will change rapidly in many regions, and as result, we advocate for the immediate recognition, conservation, and management of the subnivium and its dependent species.

[Comparación de la densidad capilar parafoveal entre sujetos sanos y diabéticos con y sin retinopatía].

BACKGROUND: Parafoveal capillary density changes have not been characterized in type 2 diabetics without retinopathy. OBJECTIVE: To compare parafoveal capillary density between healthy subjects, and diabetics with and without retinopathy. METHOD: Observational, prospective, transversal and comparative study; subjects without diabetes (group 1), diabetics without retinopathy (group 2), with retinopathy (group 3) and with diabetic macular edema (group 4), without macular ischemia, were included. The study variable was parafoveal capillary density, and the predictor variables were the measures of the foveal avascular zone, retinal thickness and the group. The variables were compared between groups using Kruskal-Wallis and Spearman's Rho tests. RESULTS: One hundred and forty eyes were evaluated; parafoveal capillary density was higher in group 1 than in the rest (p < 0.05). Area, perimeter and diameter of the foveal avascular zone were higher in group 3. A positive correlation existed a positive between parafoveal capillary density and central field thickness in groups 1, 2 and 3. CONCLUSION: Parafoveal capillary density decreases as diabetes-induced damage increase; a reduction may exist in diabetics without retinopathy and normal retinal thickness and foveal avascular zone are normal. The clinical impact of this finding requires further evaluation.

ANTECEDENTES: Los cambios de densidad parafoveal no se han caracterizado en diabéticos tipo 2 sin retinopatía. OBJETIVO: Comparar la densidad capilar parafoveal entre sujetos sanos y diabéticos con y sin retinopatía. MÉTODO: Estudio observacional, prospectivo, transversal y comparativo. Se incluyeron sujetos sin diabetes (grupo 1), diabéticos tipo 2 sin y con retinopatía (grupos 2 y 3), y con edema macular (grupo 4), sin isquemia macular. La variable de estudio fue la densidad capilar parafoveal, y las variables predictoras fueron las mediciones de la ZAF, el grosor retiniano y el grupo. Se compararon las diferencias entre grupos mediante las pruebas de Kruskal-Wallis y Rho de Spearman. RESULTADOS: 144 ojos; la densidad capilar parafoveal del grupo 1 superó la de los restantes (p < 0.05). El área, el perímetro y el diámetro de la ZAF fueron mayores en el grupo 3. Existió correlación positiva entre la densidad capilar parafoveal y el grosor del campo central en los grupos 1, 2, y 3. CONCLUSIONES: La densidad capilar parafoveal disminuye conforme avanza el daño por diabetes tipo 2; puede existir una reducción en sujetos con diabetes sin retinopatía, con grosor retiniano y ZAF normales. El impacto clínico de este hallazgo requiere evaluación adicional.

Extrapolating cetacean densities to quantitatively assess human impacts on populations in the high seas.

As human activities expand beyond national jurisdictions to the high seas, there is an increasing need to consider anthropogenic impacts to species inhabiting these waters. The current scarcity of scientific observations of cetaceans in the high seas impedes the assessment of population-level impacts of these activities. We developed plausible density estimates to facilitate a quantitative assessment of anthropogenic impacts on cetacean populations in these waters. Our study region extended from a well-surveyed region within the U.S. Exclusive Economic Zone into a large region of the western North Atlantic sparsely surveyed for cetaceans. We modeled densities of 15 cetacean taxa with available line transect survey data and habitat covariates and extrapolated predictions to sparsely surveyed regions. We formulated models to reduce the extent of extrapolation beyond covariate ranges, and constrained them to model simple and generalizable relationships. To evaluate confidence in the predictions, we mapped where predictions were made outside sampled covariate ranges, examined alternate models, and compared predicted densities with maps of sightings from sources that could not be integrated into our models. Confidence levels in model results depended on the taxon and geographic area and highlighted the need for additional surveying in environmentally distinct areas. With application of necessary caution, our density estimates can inform management needs in the high seas, such as the quantification of potential cetacean interactions with military training exercises, shipping, fisheries, and deep-sea mining and be used to delineate areas of special biological significance in international waters. Our approach is generally applicable to other marine taxa and geographic regions for which management will be implemented but data are sparse.

Toward accurate and precise estimates of lion density.

Reliable estimates of animal density are fundamental to understanding ecological processes and population dynamics. Furthermore, their accuracy is vital to conservation because wildlife authorities rely on estimates to make decisions. However, it is notoriously difficult to accurately estimate density for wide-ranging carnivores that occur at low densities. In recent years, significant progress has been made in density estimation of Asian carnivores, but the methods have not been widely adapted to African carnivores, such as lions (Panthera leo). Although abundance indices for lions may produce poor inferences, they continue to be used to estimate density and inform management and policy. We used sighting data from a 3-month survey and adapted a Bayesian spatially explicit capture-recapture (SECR) model to estimate spatial lion density in the Maasai Mara National Reserve and surrounding conservancies in Kenya. Our unstructured spatial capture-recapture sampling design incorporated search effort to explicitly estimate detection probability and density on a fine spatial scale, making our approach robust in the context of varying detection probabilities. Overall posterior mean lion density was estimated to be 17.08 (posterior SD 1.310) lions >1 year old/100 km2 , and the sex ratio was estimated at 2.2 females to 1 male. Our modeling framework and narrow posterior SD demonstrate that SECR methods can produce statistically rigorous and precise estimates of population parameters, and we argue that they should be favored over less reliable abundance indices. Furthermore, our approach is flexible enough to incorporate different data types, which enables robust population estimates over relatively short survey periods in a variety of systems. Trend analyses are essential to guide conservation decisions but are frequently based on surveys of differing reliability. We therefore call for a unified framework to assess lion numbers in key populations to improve management and policy decisions.

Effects of logging on roadless space in intact forest landscapes of the Congo Basin.

Forest degradation in the tropics is often associated with roads built for selective logging. The protection of intact forest landscapes (IFL) that are not accessible by roads is high on the biodiversity conservation agenda and a challenge for logging concessions certified by the Forest Stewardship Council (FSC). A frequently advocated conservation objective is to maximize the retention of roadless space, a concept that is based on distance to the nearest road from any point. We developed a novel use of the empty-space function - a general statistical tool based on stochastic geometry and random sets theory - to calculate roadless space in a part of the Congo Basin where road networks have been expanding rapidly. We compared the temporal development of roadless space in certified and uncertified logging concessions inside and outside areas declared IFL in 2000. Inside IFLs, road-network expansion led to a decrease in roadless space by more than half from 1999 to 2007. After 2007, loss leveled out in most areas to close to 0 due to an equilibrium between newly built roads and abandoned roads that became revegetated. However, concessions in IFL certified by FSC since around 2007 continuously lost roadless space and reached a level comparable to all other concessions. Only national parks remained mostly roadless. We recommend that forest-management policies make the preservation of large connected forest areas a top priority by effectively monitoring - and limiting - the occupation of space by roads that are permanently accessible.

Assessing strategies to reconcile agriculture and bird conservation in the temperate grasslands of South America.

Globally, agriculture is the greatest source of threat to biodiversity, through both ongoing conversion of natural habitat and intensification of existing farmland. Land sparing and land sharing have been suggested as alternative approaches to reconcile this threat with the need for land to produce food. To examine which approach holds most promise for grassland species, we examined how bird population densities changed with farm yield (production per unit area) in the Campos of Brazil and Uruguay. We obtained information on biodiversity and crop yields from 24 sites that differed in agricultural yield. Density-yield functions were fitted for 121 bird species to describe the response of population densities to increasing farm yield, measured in terms of both food energy and profit. We categorized individual species according to how their population changed across the yield gradient as being positively or negatively affected by farming and according to whether the species' total population size was greater under land-sparing, land-sharing, or an intermediate strategy. Irrespective of the yield, most species were negatively affected by farming. Increasing yields reduced densities of approximately 80% of bird species. We estimated land sparing would result in larger populations than other sorts of strategies for 67% to 70% of negatively affected species, given current production levels, including three threatened species. This suggests that increasing yields in some areas while reducing grazing to low levels elsewhere may be the best option for bird conservation in these grasslands. Implementing such an approach would require conservation and production policies to be explicitly linked to support yield increases in farmed areas and concurrently guarantee that larger areas of lightly grazed natural grasslands are set aside for conservation.

What we need to know about dense breasts: implications for breast cancer screening. / Mama densa, ¿qué debemos saber? Implicaciones en el cribado.

High breast density and its relationship to the risk of breast cancer has become a hot topic in the medical literature and in the lay press, especially in the United States, where it has brought about changes in the legal framework that require radiologists to inform clinicians and patients about breast density. Radiologists, who are mainly responsible for this information, need to know the scientific evidence and controversies regarding this subject. The discussion is centered on the real importance of the risk, the limitation that not having standardized methods of measurement represents, and the possible application of complementary screening techniques (ultrasound, magnetic resonance imaging, or tomosynthesis) for which clear recommendations have yet to be established. We need controlled studies that evaluate the application of these techniques in women with dense breasts, including the possibility that they can lead to overdiagnosis.

Use of sibling relationship reconstruction to complement traditional monitoring in fisheries management and conservation of brown trout.

Declining trends in the abundance of many fish urgently call for more efficient and informative monitoring methods that would provide necessary demographic data for the evaluation of existing conservation, restoration, and management actions. We investigated how genetic sibship reconstruction from young-of-the-year brown trout (Salmo trutta L.) juveniles provides valuable, complementary demographic information that allowed us to disentangle the effects of habitat quality and number of breeders on juvenile density. We studied restored (n = 15) and control (n = 15) spawning and nursery habitats in 16 brown trout rivers and streams over 2 consecutive years to evaluate the effectiveness of habitat restoration activities. Similar juvenile densities both in restored and control spawning and nursery grounds were observed. Similarly, no differences in the effective number of breeders, Nb(SA) , were detected between habitats, indicating that brown trout readily used recently restored spawning grounds. Only a weak relationship between the Nb(SA) and juvenile density was observed, suggesting that multiple factors affect juvenile abundance. In some areas, very low estimates of Nb(SA) were found at sites with high juvenile density, indicating that a small number of breeders can produce a high number of progeny in favorable conditions. In other sites, high Nb(SA) estimates were associated with low juvenile density, suggesting low habitat quality or lack of suitable spawning substrate in relation to available breeders. Based on these results, we recommend the incorporation of genetic sibship reconstruction to ongoing and future fish evaluation and monitoring programs to gain novel insights into local demographic and evolutionary processes relevant for fisheries management, habitat restoration, and conservation.

El Uso de la Reconstrucción de Relaciones Fraternales para Complementar el Monitoreo Tradicional en el Manejo de Pesquerías y en la Conservación de la Trucha Café Resumen Las tendencias de declinación en la abundancia de muchos peces son un llamado urgente para métodos de monitoreo más eficientes e informativos que proporcionarían los datos demográficos necesarios para la evaluación de la conservación actual, la restauración y las acciones de manejo. Investigamos cómo la reconstrucción genética del número de crías producidas por una pareja de padres de juveniles de ese mismo año de trucha café (Salmo trutta L.) proporciona información demográfica valiosa y complementaria, la cual nos permitió revelar los efectos de la calidad de hábitat y el número de reproductores sobre la densidad juvenil. Estudiamos hábitats de reproducción y crianza restaurados (n = 15) y controlados (n = 15) en 16 ríos y arroyos de trucha café a lo largo de dos años consecutivos para evaluar la efectividad de las actividades de restauración de hábitat. Se observaron densidades juveniles similares en ambos tipos de hábitat. De manera similar, no se detectaron diferencias entre los hábitats en el número efectivo de reproductores (Nb(SA) ), lo que indica que la trucha café usó de manera inmediata y reciente los hábitats de reproducción restaurados. Sólo se observó una relación débil entre el Nb(SA) y la densidad juvenil, lo que sugiere que múltiples factores afectan a la abundancia juvenil. En algunas áreas, se encontraron estimados muy bajos de Nb(SA) en sitios con una alta densidad juvenil, lo que indica que un pequeño número de reproductores puede producir un alto número de descendencia en condiciones favorables. En otros sitios, los estimados altos de Nb(SA) estuvieron asociados con una baja densidad juvenil, lo que sugiere que una baja calidad de hábitat o la falta de un sustrato adecuado para la reproducción en relación con los reproductores disponibles. Con base en estos resultados, recomendamos la incorporación de esta reconstrucción genética a la evaluación actual y futura de peces y a los programas de monitoreo para obtener percepciones novedosas de los procesos demográficos y evolutivos relevantes para el manejo de pesqueras, restauración de hábitat y conservación.

Is the performance of MRI in preoperative staging of breast cancer independent of clinical and histological factors? A subgroup analysis.

OBJECTIVE: To determine whether preoperative breast MRI is more useful in patients according to their breast density, age, menopausal status, and biopsy findings of carcinoma in situ. MATERIAL AND METHODS: We retrospectively studied 264 patients treated for breast cancer who had undergone mammography, ultrasonography, and MRI. We compared the size of the tumor on the three techniques and the sensitivity of the techniques for detecting additional lesions both in the overall group and in subgroups of patients classified according to their breast density, age, menopausal status, and histological findings of intraductal carcinoma. The definitive histological diagnosis was used as the gold standard. RESULTS: MRI was the technique that was most concordant with the histological findings for the size of the lesion, and it was also the technique that detected the most additional lesions. With MRI, we observed no differences in lesion size between the overall group and the subgroups in which MRI provided added value. Likewise, we observed no differences in the number of additional lesions detected in the overall group except for multicentric lesions, which was larger in older patients (P=.02). In the subgroup of patients in which MRI provided added value, the sensitivity for bilateral lesions was higher in patients with fatty breasts (P=.04). Multifocal lesions were detected significantly better in premenopausal patients (P=.03). CONCLUSIONS: MRI is better than mammography and better than ultrasonography for establishing the size of the tumor and for detecting additional lesions. Our results did not identify any subgroups in which the technique was more useful.