Priorities for research and action to prevent a New World vulture crisis

Proactive approaches are typically more cost-effective than reactive ones, and this is clearly the case for biodiversity conservation. Research and conservation actions for Old World vultures typically followed large population declines, particularly in Asia and Africa. These are clear examples of reactive intensive conservation management. We here contend that there are signs of a potential upcoming continental vulture crisis in the New World. New Word vultures share many of the threats that have decimated their Old World counterparts, such as toxicosis from poisoning and lead. At the same time, we show that quantitative data on key demographic and conservation action aspects are largely lacking for many New World vultures, particularly those restricted to the Neotropics. This knowledge gap prevents us from quantifying population declines, and in turn, to design effective management actions to mitigate and prevent further declines. Essentially, if the current knowledge gaps are not filled rapidly, we will miss the opportunity to apply proactive conservation. We here propose a set of actions to prevent a potential vulture crisis in the Americas.Peer reviewe

Quantifying the spatial distribution and trends of supplementary feeding sites in South Africa and their potential contribution to vulture energetic requirements

Old world vultures are the most threatened group of raptors globally. Supplementary feeding sites (SFS) are a popular conservation tool, widely used to assist vulture populations. Despite their popularity, the impact of SFS on vultures remains largely unstudied. A lack of knowledge on the number, distribution and management of SFS is a key factor hindering such research. In this study, we compile records of SFS in South Africa and conduct questionnaires with SFS managers to characterize SFS. We identify 143 currently active SFS. Our data suggest that SFS numbers have been stable over the last decade. The average provisioning rate for all SFS was 64.6 kg day(-1). Overall SFS provide an estimated 3301 tonnes of food to scavengers each year, the equivalent of 83% of the energetic needs of all vultures in the region. This contribution was highly skewed, however, with just 17% of active SFS sites providing 69% of all food. Furthermore, these resources were not equally distributed, with SFS in Limpopo, North West and Kwazulu-Natal provinces providing 83% of the total meat provisioned. The three most common meat types provided at SFS were beef (39%), pork (33%) and game (19%). Worryingly, we found that 68% and 28% of SFS managers were unaware of the potential harmful effects of lead and veterinary drugs, respectively, which highlights potential poisoning risks associated with SFS. Examining exposure to SFS by different vulture species, we found that whilst SFS are accessible across the distribution range of vultures with large home ranges (e.g. African white-backed and Cape vultures), those species with smaller home ranges have relatively poor accessibility. With this study, we demonstrate the potential importance, but also associated risks, of SFS to vultures in South Africa, and provide the information base to assess the impacts of this popular but as yet largely unassessed conservation tool.Peer reviewe

Coverage of vertebrate species distributions by Important Bird and Biodiversity Areas and Special Protection Areas in the European Union

Peer reviewe

Perceptions of vulture supplementary feeding site managers and potential hidden risks to avian scavengers

Under the current African vulture crisis, supplementary feeding sites (SFS), which provide carrion resources, have become a popular conservation tool to address vulture declines. In South Africa, this practice is unregulated and the context in which SFS operate and their adherence to best management practices is currently unknown. In this study, we conducted a survey with SFS managers regarding the management of their SFS to evaluate potential conservation implications of different practices. Half of the SFS surveyed were associated with livestock farming. Overall, most managers (84%) perceived some benefit from running an SFS, largely attributed to cleaning services provided by vultures. Over half of the managers perceived no disadvantages from running SFS. We found a positive correlation between numbers of vultures seen at SFS and the amount of food provided there. Despite unintentional and intentional poisoning being identified by experts as the most critical threats to vultures in Southern Africa, only 47 and 24% of managers, respectively, listed these as potential threats to vultures, highlighting limited understanding of current vulture conservation issues. Most managers (85%) vetted carcasses for provisioning suitability based on whether they had been treated with veterinary drugs, but relatively few managers (10%) did the same for lead (Pb) contamination. Only 30% of managers considered threats to vultures when they decided on a location for their SFS. Overall, this study unveils that at many SFS, safety conditions are not met and vultures may be exposed to risks, such as the ingestion of toxic substances (e.g., Pb) or electrocution by energy infrastructure. To minimize unintended negative consequences from SFS, it will be essential to increase the interaction between SFS managers and conservation practitioners, to increase the flow of information on best management practices and enforce stringent and clear guidelines that minimize any risks to vultures.Peer reviewe

Food at the heart of the Empire. Dietary reconstruction for Imperial Rome inhabitants

This paper aims to provide a broad diet reconstruction for people buried in archaeologically defined contexts in Rome (first to third centuries CE), in order to combine archaeological and biological evidence focusing on dietary preferences in Imperial Rome. A sample of 214 human bones recovered from 6 funerary contexts was selected for carbon and nitrogen stable isotope analysis. The baseline for the terrestrial protein component of the diet was set using 17 coeval faunal remains recovered from excavations at Rome supplemented by previously published data for the same geographic and chronological frames. δ13C ranges from − 19.9 to − 14.8‰, whereas δ15N values are between 7.2 and 10.0‰. The values are consistent with an overall diet mainly based on terrestrial resources. All the human samples rely on a higher trophic level than the primary consumer faunal samples. Certainly, C3 plants played a pivotal role in the dietary habits. However, C4 plants also seem to have been consumed, albeit they were not as widespread and were not always used for human consumption. The environment played a critical role also for Romans of lower social classes. The topographical location determined the preferential consumption of food that people could obtain from their neighborhood

Does periprocedural anticoagulation management of atrial fibrillation affect the prevalence of silent thromboembolic lesion detected by diffusion cerebral magnetic resonance imaging in patients undergoing radiofrequency atrial fibrillation ablation with open irrigated catheters? Results from a prospective multicenter study

BackgroundSilent cerebral ischemia (SCI) has been reported in 14% of cases after catheter ablation of atrial fibrillation (AF) with radiofrequency (RF) energy and discontinuation of warfarin before AF ablation procedures.ObjectiveThe purpose of this study was to determine whether periprocedural anticoagulation management affects the incidence of SCI after RF ablation using an open irrigated catheter.MethodsConsecutive patients undergoing RF ablation for AF without warfarin discontinuation and receiving heparin bolus before transseptal catheterization (group I, n = 146) were compared with a group of patients who had protocol deviation in terms of maintaining the therapeutic preprocedural international normalized ratio (patients with subtherapeutic INR) and/or failure to receive pretransseptal heparin bolus infusion and/or ≥2 consecutive ACT measurements <300 seconds (noncompliant population, group II, n = 134) and with a group of patients undergoing RF ablation with warfarin discontinuation bridged with low molecular weight heparin (group III, n = 148). All patients underwent preablation and postablation (within 48 hours) diffusion magnetic resonance imaging.ResultsSCI was detected in 2% of patients (3/146) in group I, 7% (10/134) in group II, and 14% (21/148) in group III (P <.001). “Therapeutic INR” was strongly associated with a lower prevalence of postprocedural silent cerebral ischemia (SCI). Multivariable analysis demonstrated nonparoxysmal AF (odds ratio 3.8, 95% confidence interval 1.5–9.7, P = .005) and noncompliance to protocol (odds ratio 2.8, 95% confidence interval 1.5–5.1, P <.001] to be significant predictors of ischemic events.ConclusionStrict adherence to an anticoagulation protocol significantly reduces the prevalence of SCI after catheter ablation of AF with RF energy

Endo-Epicardial Homogenization of the Scar Versus Limited Substrate Ablation for the Treatment of Electrical Storms in Patients With Ischemic Cardiomyopathy

ObjectivesThis study investigated the impact on recurrences of 2 different substrate approaches for the treatment of these arrhythmias.BackgroundCatheter ablation of electrical storms (ES) for ventricular arrhythmias (VAs) has shown moderate long-term efficacy in patients with ischemic cardiomyopathy.MethodsNinety-two consecutive patients (81% male, age 62 ± 13 years) with ischemic cardiomyopathy and ES underwent catheter ablation. Patients were treated either by confining the radiofrequency lesions to the endocardial surface with limited substrate ablation (Group 1, n = 49) or underwent endocardial and epicardial ablation of abnormal potentials within the scar (homogenization of the scar, Group 2, n = 43). Epicardial access was obtained in all Group 2 patients, whereas epicardial ablation was performed in 33% (14) of these patients.ResultsMean ejection fraction was 27 ± 5. During a mean follow-up of 25 ± 10 months, the VAs recurrence rate of any ventricular tachycardia (VTs) was 47% (23 of 49 patients) in Group 1 and 19% (8 of 43 patients) in Group 2 (log-rank p = 0.006). One patient in Group 1 and 1 patient in Group 2 died at follow-up for noncardiac reasons.ConclusionsOur study demonstrates that ablation using endo-epicardial homogenization of the scar significantly increases freedom from VAs in ischemic cardiomyopathy patients

Esophageal cooling for protection during left atrial ablation: a systematic review and meta-analysis.

PURPOSE: Thermal damage to the esophagus is a risk from radiofrequency (RF) ablation of the left atrium for the treatment of atrial fibrillation (AF). The most extreme type of thermal injury results in atrio-esophageal fistula (AEF) and a correspondingly high mortality rate. Various strategies for reducing esophageal injury have been developed, including power reduction, esophageal deviation, and esophageal cooling. One method of esophageal cooling involves the direct instillation of cold water or saline into the esophagus during RF ablation. Although this method provides limited heat-extraction capacity, studies of it have suggested potential benefit. We sought to perform a meta-analysis of published studies evaluating the use of esophageal cooling via direct liquid instillation for the reduction of thermal injury during RF ablation. METHODS: We searched PubMed for studies that used esophageal cooling to protect the esophagus from thermal injury during RF ablation. We then performed a meta-analysis using a random effects model to calculate estimated effect size with 95% confidence intervals, with an outcome of esophageal lesions stratified by severity, as determined by post-procedure endoscopy. RESULTS: A total of 9 studies were identified and reviewed. After excluding preclinical and mathematical model studies, 3 were included in the meta-analysis, totaling 494 patients. Esophageal cooling showed a tendency to shift lesion severity downward, such that total lesions did not show a statistically significant change (OR 0.6, 95% CI 0.15 to 2.38). For high-grade lesions, a significant OR of 0.39 (95% CI 0.17 to 0.89) in favor of esophageal cooling was found, suggesting that esophageal cooling, even with a low-capacity thermal extraction technique, reduces the severity of lesions resulting from RF ablation. CONCLUSIONS: Esophageal cooling reduces the severity of the lesions that may result from RF ablation, even when relatively low heat extraction methods are used, such as the direct instillation of small volumes of cold liquid. Further investigation of this approach is warranted, particularly with higher heat extraction capacity techniques

Activation of tissue plasminogen activator by metastasis-inducing S100P protein

S100P protein in human breast cancer cells is associated with reduced patient survival and, in a model system of metastasis, it confers a metastatic phenotype upon benign mammary tumour cells. S100P protein possesses a C-terminal lysine residue. Using a multiwell in vitro assay, S100P is now shown for the first time to exhibit a strong, C-terminal lysine-dependent activation of tissue plasminogen activator (tPA), but not of urokinase-catalysed plasminogen activation. The presence of 10 μM calcium ions stimulates tPA activation of plasminogen 2-fold in an S100P-dependent manner. S100P physically interacts with both plasminogen and tPA in vitro, but not with urokinase. Cells constitutively expressing S100P exhibit detectable S100P protein on the cell surface, and S100P-containing cells show enhanced activation of plasminogen compared with S100P-negative control cells. S100P shows C-terminal lysine-dependent enhancement of cell invasion. An S100P antibody, when added to the culture medium, reduced the rate of invasion of wild-type S100P-expressing cells, but not of cells expressing mutant S100P proteins lacking the C-terminal lysine, suggesting that S100P functions outside the cell. The protease inhibitors, aprotinin or α-2-antiplasmin, reduced the invasion of S100P-expressing cells, but not of S100P-negative control cells, nor cells expressing S100P protein lacking the C-terminal lysine. It is proposed that activation of tPA via the C-terminal lysine of S100P contributes to the enhancement of cell invasion by S100P and thus potentially to its metastasis-promoting activity