Modeling the distributions of tegu lizards in native and potential invasive ranges

Invasive reptilian predators can have substantial impacts on native species and ecosystems. Tegu lizards are widely distributed in South America east of the Andes, and are popular in the international live animal trade. Two species are established in Florida (U.S.A.)-Salvator merianae (Argentine black and white tegu) and Tupinambis teguixin sensu lato (gold tegu)-and a third has been recorded there-S. rufescens (red tegu). We built species distribution models (SDMs) using 5 approaches (logistic regression, multivariate adaptive regression splines, boosted regression trees, random forest, and maximum entropy) based on data from the native ranges. We then projected these models to North America to develop hypotheses for potential tegu distributions. Our results suggest that much of the southern United States and northern México probably contains suitable habitat for one or more of these tegu species. Salvator rufescens had higher habitat suitability in semi-arid areas, whereas S. merianae and T. teguixin had higher habitat suitability in more mesic areas. We propose that Florida is not the only state where these taxa could become established, and that early detection and rapid response programs targeting tegu lizards in potentially suitable habitat elsewhere in North America could help prevent establishment and abate negative impacts on native ecosystems.Fil: Jarnevich, Catherine S.. U.s. Geological Survey; Estados UnidosFil: Hayes, Mark A.. Cherokee Nation Technologies; Estados UnidosFil: Fitzgerald, Lee A.. Department Of Wildlife And Fisheries Sciences; Estados UnidosFil: Yackel Adams, Amy A.. U.s. Geological Survey; Estados UnidosFil: Falk, Bryan G.. U.s. Geological Survey; Estados Unidos. National Park Service; Estados UnidosFil: Collier, Michelle A. M.. National Park Service; Estados Unidos. U.s. Geological Survey; Estados UnidosFil: Bonewell, Lea` R.. U.s. Geological Survey; Estados UnidosFil: Klug, Page E.. U.s. Geological Survey; Estados Unidos. U.S. Department of Agriculture APHIS, Wildlife Services, National Wildlife Research Center, North Dakota Field Station; Estados UnidosFil: Naretto, Sergio. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Instituto de Diversidad y Ecología Animal. Universidad Nacional de Córdoba. Facultad de Ciencias Exactas Físicas y Naturales. Instituto de Diversidad y Ecología Animal; ArgentinaFil: Reed, Robert N.. U.s. Geological Survey; Estados Unido

When to test fetuses for RASopathies? Proposition from a systematic analysis of 352 multicenter cases and a postnatal cohort

Purpose: Recent studies have identified suggestive prenatal features of RASopathies (e.g., increased nuchal translucency [NT], cystic hygroma [CH], hydrops, effusions, congenital heart diseases [CHD], polyhydramnios, renal anomalies). Our objective is to clarify indications for RASopathy prenatal testing. We compare genotype distributions between pre- and postnatal populations and propose genotype\u2013phenotype correlations. Methods: Three hundred fifty-two chromosomal microarray\u2013negative cases sent for prenatal RASopathy testing between 2012 and 2019 were collected. For most, 11 RASopathy genes were tested. Postnatal cohorts (25 patients with available prenatal information and 108 institutional database genotypes) and the NSeuroNet database were used for genotypic comparisons. Results: The overall diagnostic yield was 14% (50/352), with rates >20% for effusions, hydrops, and CHD. Diagnostic yield was significantly improved in presence of hypertrophic cardiomyopathy (HCM), persistent or associated CH, any suggestive finding combined with renal anomaly or polyhydramnios, or 652 ultrasound findings. Largest prenatal contributors of pathogenic variants were PTPN11 (30%), RIT1 (16%), RAF1 (14%), and HRAS (12%), which considerably differ from their prevalence in postnatal populations. HRAS, LZTR1, and RAF1 variants correlated with hydrops/effusions, and RIT1 with prenatal onset HCM. Conclusion: After normal chromosomal microarray, RASopathies should be considered when any ultrasound finding of lymphatic dysplasia or suggestive CHD is found alone or in association

Interpretable and Reliable Rule Classification Based on Conformal Prediction

This paper deals with the challenging problem of simultaneously integrating interpretablility and reliability into prediction models in machine learning. It proposes to combine the interpretable models of decision rules with the reliable models based on conformal prediction. The result is a new technique of conformal decision rules. Given a test instance, the technique is capable of providing a point prediction, an explanation, and a confidence value for that prediction plus a prediction set. The experiments show when and how conformal decision rules can be used for interpretable and reliable machine learning

Enteral vs. intravenous ICU sedation management: study protocol for a randomized controlled trial.

BACKGROUND: A relevant innovation about sedation of long-term Intensive Care Unit (ICU) patients is the 'conscious target': patients should be awake even during the critical phases of illness. Enteral sedative administration is nowadays unusual, even though the gastrointestinal tract works soon after ICU admission. The enteral approach cannot produce deep sedation; however, it is as adequate as the intravenous one, if the target is to keep patients awake and adapted to the environment, and has fewer side effects and lower costs. METHODS: A randomized, controlled, multicenter, single-blind trial comparing enteral and intravenous sedative treatments has been done in 12 Italian ICUs. The main objective was to achieve and maintain the desired sedation level: observed RASS = target RASS +/- 1. Three hundred high-risk patients were planned to be randomly assigned to receive either intravenous propofol/midazolam or enteral melatonin/hydroxyzine/lorazepam. Group assignment occurred through online minimization process, in order to balance variables potentially influencing the outcomes (age, sex, SAPS II, type of admission, kidney failure, chronic obstructive pulmonary disease, sepsis) between groups. Once per shift, the staff recorded neurological monitoring using validated tools. Three flowcharts for pain, sedation, and delirium have been proposed; they have been designed to treat potentially correctable factors first, and, only once excluded, to administer neuroactive drugs. The study lasted from January 24 to December 31, 2012. A total of 348 patients have been randomized, through a centralized website, using a specific software expressly designed for this study. The created network of ICUs included a mix of both university and non-university hospitals, with different experience in managing enteral sedation. A dedicated free-access website was also created, in both Italian and English, for continuous education of ICU staff through CME courses. DISCUSSION: This 'educational research' project aims both to compare two sedative strategies and to highlight the need for a profound cultural change, improving outcomes by keeping critically-ill patients awake.Trial registration number: Clinicaltrials.gov #NCT01360346