Catchment-based sampling of river eDNA integrates terrestrial and aquatic biodiversity of alpine landscapes.

Monitoring of terrestrial and aquatic species assemblages at large spatial scales based on environmental DNA (eDNA) has the potential to enable evidence-based environmental policymaking. The spatial coverage of eDNA-based studies varies substantially, and the ability of eDNA metabarcoding to capture regional biodiversity remains to be assessed; thus, questions about best practices in the sampling design of entire landscapes remain open. We tested the extent to which eDNA sampling can capture the diversity of a region with highly heterogeneous habitat patches across a wide elevation gradient for five days through multiple hydrological catchments of the Swiss Alps. Using peristaltic pumps, we filtered 60 L of water at five sites per catchment for a total volume of 1800 L. Using an eDNA metabarcoding approach focusing on vertebrates and plants, we detected 86 vertebrate taxa spanning 41 families and 263 plant taxa spanning 79 families across ten catchments. For mammals, fishes, amphibians and plants, the detected taxa covered some of the most common species in the region according to long-term records while including a few more rare taxa. We found marked turnover among samples from distinct elevational classes indicating that the biological signal in alpine rivers remains relatively localised and is not aggregated downstream. Accordingly, species compositions differed between catchments and correlated with catchment-level forest and grassland cover. Biomonitoring schemes based on capturing eDNA across rivers within biologically integrated catchments may pave the way toward a spatially comprehensive estimation of biodiversity

Intensive consolidation therapy compared with standard consolidation and maintenance therapy for adults with acute myeloid leukaemia aged between 46 and 60 years: final results of the randomized phase III study (AML 8B) of the European Organization for Research and Treatment of Cancer (EORTC) and the Gruppo Italiano Malattie Ematologiche Maligne dell’Adulto (GIMEMA) Leukemia Cooperative Groups

The most effective post-remission treatment to maintain complete remission (CR) in adults aged between 46 and 60 years with acute myeloid leukaemia (AML) is uncertain. Previously untreated patients with AML in CR after induction chemotherapy with daunorubicin and cytarabine were randomized between two intensive courses of consolidation therapy containing high-dose cytarabine, combined with amsacrine or daunorubicin and a standard consolidation and maintenance therapy containing standard dose cytarabine and daunorubicin. One hundred fifty-eight CR patients were assigned to the intensive group and 157 patients to the standard group. After a median follow-up of 7.5 years, the 4-year survival rate was 32 % in the intensive group versus 34 % in the standard group (P = 0.29). In the intensive group, the 4-year relapse incidence was lower than in the standard group: 55 and 75 %, respectively (P = 0.0003), whereas treatment-related mortality incidence was higher: 22 versus 3 % (P < 0.0001). Two intensive consolidation courses containing high-dose cytarabine as post-remission treatment in patients with AML aged between 46 and 60 years old did not translate in better long-term outcome despite a 20 % lower relapse incidence. Better supportive care and prevention of treatment-related complications may improve the overall survival after intensified post-remission therapy in this age group

Marine fish diversity in Tropical America associated with both past and present environmental conditions

Aim Tropical America, including the Tropical Eastern Pacific and the Caribbean Sea, presents a high level of marine biodiversity, but its fish fauna has been poorly documented. In early studies marine species distributions were interpreted based on tectonic activity during the late Cenozoic, while more recent studies have highlighted a link with the present-day environment. Here, we described the assemblage richness and composition of fishes in Tropical America and related these properties to both the past evolution of marine environmental conditions and current environmental gradients. Location Tropical America. Taxon Demersal and benthic fishes. Methods We mapped the distribution of 2,216 demersal and benthic fish species of Tropical America using existing occurrence data. We computed three assemblage indicators: species richness, composition and nestedness, which we explained by environmental gradients. We linked compositional distance to environmental differences using distance-based redundancy analysis, species richness and nestedness using a generalized linear model. We ran simulations of a mechanistic model in which three processes determine the spatial dynamics of biodiversity: speciation, dispersal and extinction. This model yielded estimates for species assemblage properties following palaeogeographic changes in the region that shaped the current coastal habitat configuration. Results Fish species richness in Tropical America peaks around the Florida Peninsula, Bahamas and Greater Antilles. Fish composition varies along a depth gradient, between the Tropical Eastern Pacific and the Caribbean Sea, and forms distinct domains within the Caribbean region. The nestedness component of beta-diversity is lower in shallower assemblages, especially those along the outer section of the Greater Caribbean. Species richness and nestedness are partly explained by current environmental conditions, but model simulations illustrate how this may be further explained by the tectonic history of the region. Main conclusions Species richness peaks in the Greater Caribbean, coinciding with generally favourable current environmental conditions for demersal and benthic fishes. The high species richness and the low nestedness of fish assemblages in the Cuba region are compatible with the results of palaeo-environmental changes that have occurred in that area. Effects of the plate tectonic history might still be present in the organization of fish fauna in this region.ISSN:0305-0270ISSN:1365-269

gen3sis: A general engine for eco-evolutionary simulations of the processes that shape Earth's biodiversity

Understanding the origins of biodiversity has been an aspiration since the days of early naturalists. The immense complexity of ecological, evolutionary, and spatial processes, however, has made this goal elusive to this day. Computer models serve progress in many scientific fields, but in the fields of macroecology and macroevolution, eco-evolutionary models are comparatively less developed. We present a general, spatially explicit, eco-evolutionary engine with a modular implementation that enables the modeling of multiple macroecological and macroevolutionary processes and feedbacks across representative spatiotemporally dynamic landscapes. Modeled processes can include species' abiotic tolerances, biotic interactions, dispersal, speciation, and evolution of ecological traits. Commonly observed biodiversity patterns, such as alpha, beta, and gamma diversity, species ranges, ecological traits, and phylogenies, emerge as simulations proceed. As an illustration, we examine alternative hypotheses expected to have shaped the latitudinal diversity gradient (LDG) during the Earth's Cenozoic era. Our exploratory simulations simultaneously produce multiple realistic biodiversity patterns, such as the LDG, current species richness, and range size frequencies, as well as phylogenetic metrics. The model engine is open source and available as an R package, enabling future exploration of various landscapes and biological processes, while outputs can be linked with a variety of empirical biodiversity patterns. This work represents a key toward a numeric, interdisciplinary, and mechanistic understanding of the physical and biological processes that shape Earth's biodiversity.ISSN:1544-9173ISSN:1545-788

Microvascular breast reconstruction and thromboembolic events in patients on hormone therapy: audit of practice from a tertiary referral centre

Introduction: Hormonal therapy with tamoxifen and aromatase inhibitors reduces breast cancer recurrence and mortality but represents a risk factor for thromboembolic events. Therefore, most surgeons discontinue hormonal agents before microvascular surgery and for a variable period thereafter. There are no guidelines as to when therapy should be stopped (preoperatively) or when it should be resumed (postoperatively). We therefore audited our hospital practice with the objective of making recommendations for microvascular breast reconstruction patients. Patients & methods: A review was performed of all free flap breast reconstructions between 2014 and 2019. Patients were classified according to hormone medication status at operation. Timings of drug cessation and recommencement were recorded. Thrombotic events namely flap microvascular thrombosis, DVT, SVT and PE were compared. Results: 240 patients had 275 free flaps over five years with 36 receiving hormone therapy within one month prior to surgery which was discontinued 8.5 days (range 0-28) before surgery. Intra-operative microvascular thromboses (HT 2.0%, NHT 0%; p=0.869) and post-operative microvascular complications/flap re-explorations (HT 6.6%, NHT 0%; p=0.234) were comparable between the two groups. Systemic venous thromboembolic events were also similar (HT 8.3%, NHT 6.1%; p= 0.893). Age, BMI, smoking status and preoperative chemotherapy did not influence the incidence of thrombotic complications. Conclusion: Hormone therapy did not significantly increase risk of thromboembolic events. Despite the widespread practice of withholding it for 2 weeks prior to reconstructive surgery, this study does not support such practice being beneficial in terms of thromboembolic events and flap viability. Larger scale trials are needed to establish definitive protocols