Neonatal hyperbilirubinemia bilirubin encephalopathy: investigations into the diagnosis, epidemiology, pathogenesis, management and treatment of the jaundiced newborn

Jaundice is probably the most common newborn infant problem dealt with on a daily basis by the family practitioner and paediatrician. Jaundice occurs when the liver cannot clear a sufficient amount of bilirubin from the plasma. When the problem is excessive bilirubin formation or limited uptake or conjugation, unconjugated (i.e., indirect reacting) bilirubin appears in the blood and indirect hyperbilirubinemia is the predominant form of jaundice found in the newborn infant. In the vast majority of newborns, hyperbilirubinemia is transient and benign but, in rare cases, the serum bilirubin rises to a level that is toxic to the central nervous system. Understanding the pathogenesis and epidemiology of neonatal hyperbilirubinemia; recognizing, the problems involved in appropriate surveillance and monitoring of the jaundiced infant and the factors contributing to bilirubin encephalopathy; and implementing treatment of the jaundiced neonate in a timely fashion, are issues that have engaged clinicians and researchers for some 6 decades. This work will summarize my contributions to the field of neonatal hyperbilirubinemia and it includes papers published between 1971 and 2007. The description of this work will not follow its chronological sequence, but will be divided into the categories of diagnosis, epidemiology, pathogenesis, management, treatment, and bilirubin encephalopathy

The consequences of poaching and anthropogenic change for forest elephants

Poaching has devastated forest elephant populations (Loxodonta cyclotis), and their habitat is dramatically changing. The long-term effects of poaching and other anthropogenic threats have been well studied in savannah elephants (Loxodonta africana), but the impacts of these changes for Central Africa's forest elephants have not been discussed. We examine potential repercussions of these threats and the related consequences for forest elephants in Central Africa by summarizing the lessons learned from savannah elephants and small forest elephant populations in West Africa. Forest elephant social organisation is little known than for savannah elephants, but the close evolutionary history with savannah elephants suggests that they will respond to anthropogenic threats in broadly similar ways. The loss of older, experienced individuals could disrupt ecological, social and population parameters. Severe reduction of elephant abundance within Central Africa's forests can alter plant communities and ecosystem functions. Poaching, habitat alterations and human population increase are probably compressing forest elephants into protected areas and increasing human-elephant conflict, negatively affecting their conservation. We encourage conservationists to look beyond forest elephant population decline and address these causes of change when developing conversation strategies. We propose research priorities, including assessing the effectiveness of the existing protected area network for landscape connectivity in the light of current industrial and infrastructure development. Longitudinal assessments of landscape changes on forest elephant sociality and behaviour are also needed. Finally, lessons learned from West African population loss and fragmentation should be used to inform strategies for land-use planning and managing the human-elephant interface

Gorilla gorilla

Assessment Information: Justification: Gorilla gorillahas a large geographic range, covering over 700,000 km². The size of the population is currently being evaluated, but thought to be in the order of a few hundred thousand (Strindberg et al. in prep). Only a very small number of Western Gorillas are the G. g. diehli subspecies, therefore this rationale focuses on the G. g. gorilla subspecies. The country of Gabon lost over half its Gorilla population between 1983 and 2000 (Walsh et al. 2003). More recent population declines have been estimated using a predictive model that incorporated survey data collected between 2003 and 2013 across the entire range of Western Lowland Gorillas. The results reveal an 18.75% decline between 2005 and 2013, corresponding to an annual loss of ~2.56% (Strindberg et al. in prep). These population decreases were driven by poaching and disease (Ebolavirus) outbreaks.Despite their abundance and wide geographic range, Western Gorillas qualify as Critically Endangered under criterion A: a population reduction of more than 80% over three generations (one generation is ~22 years). This listing is based on ongoing population losses due to illegal hunting, disease and habitat loss: poaching is intensifying with the expansion of access routes into forests and Zaire Ebolavirus remains a highly significant threat. At a conservative rate of reduction (2.56% per year rather than 4%, calculated from Walsh et al. 2003), the reduction in the Western Gorilla population is predicted to exceed 80% over three generations (i.e., 66 years, 2005-2071). Illegal hunting has not ceased despite intense anti-poaching efforts, and the threat of Ebolavirus has not been removed. In addition, the scale of habitat conversion to industrial agriculture will increase, and the effects of climate change will become more evident.Gorilla gorillathus qualifies as Critically Endangered (A4bcde)

Pediatric liver transplantation from neonatal donors

Sixteen recipients of neonatal liver grafts were compared with 114 contemporaneous pediatric recipients of grafts from older donors. Graft and patient survival were worse in the neonatal group although the differences were not statistically significant. Patients with neonatal livers who had no technical complications required a longer time postoperatively to correct jaundice and a prolonged prothrombin time. These functional differences were limited to the 1st postoperative month and the end result was the same as with liver transplantation from older donors. © 1992 Springer-Verlag

A first for large African mammals: DNA used to count Gabon’s endangered forest elephants

First paragraph: Across the African continent the populations of both species of African elephants – forest and savanna – have been declining due to habitat loss, poaching and human-wildlife conflict

A first for large African mammals: DNA used to count Gabon’s endangered forest elephants

First paragraph: Across the African continent the populations of both species of African elephants – forest and savanna – have been declining due to habitat loss, poaching and human-wildlife conflict.https://theconversation.com/a-first-for-large-african-mammals-dna-used-to-count-gabons-endangered-forest-elephants-178233 Alice Laguardia was the lead author of this research study

Lignes directrices pour de meilleures pratiques en matière d’inventaire et de suivi des populations de grands singes

From Executive Summary: The combination of threats currently facing the remaining great apes requires immediate conservation action at all scales — from site-level initiatives, through national and regional strategies, to international conventions and action plans. Baseline density estimates and subsequent monitoring of ape populations are essential for assessing the impacts of particular threats and measuring whether conservation programmes are succeeding.  Available at: https://portals.iucn.org/library/node/922

Pan troglodytes (errata version published in 2018)

Assessment Information: Although Pan troglodytes is the most abundant and widespread of the great apes, and many populations exist in protected areas, the declines that have occurred are expected to continue, satisfying the criteria for an Endangered listing (Oates 2006). Due to high levels of poaching, infectious diseases, and loss of habitat and habitat quality caused by expanding human activities, this species is estimated to have experienced a significant population reduction in the past 20–30 years and it is suspected that this reduction will continue for the next 30–40 years. Due to their slow life history and a generation time estimated to be 25 years, Chimpanzee populations cannot sustain high levels of mortality, whether disease-induced or caused by poaching. The maximum population reduction over a three-generation (75 year) period from 1975 to 2050 is suspected to exceed 50%, hence qualifying this taxon as Endangered under criterion A. Although conservation efforts directed at Chimpanzees and other wildlife have increased significantly in recent years, the assumption that population reductions will continue is a precautionary approach based on the rapid growth of human populations in sub-Saharan Africa, continuing poaching for bushmeat, the commercial bushmeat trade, the arrival of industrial agriculture (which requires clearcutting of forest), corruption and lack of law enforcement, lack of capacity and resources, and political instability in some range states. At the same time, zoonosis and disease outbreaks present significant risks; there is, for example, evidence that Ebolavirus will continue to spreadin some parts of the Chimpanzee's geographic range(Walshet al.2005)