Conservando la flora y los hábitats silvestres con las comunidades locales en el Sur y Este de la Región Mediterránea (IPA Med)

La Región Mediterránea está reconocida a nivel internacional como uno de los principales centros mundiales de diversidad, albergando un 10% de las plantas vasculares conocidas del planeta en el 1,6% de su superficie (Médail & Quézel, 1997). Además de contar con una gran riqueza de especies (estimada en 25.000) cabe destacar que más de la mitad son endemismos que sólo se encuentran en esta región. Esta diversidad vegetal es, asimismo, un valioso y vital recurso natural que sustenta a los seres vivos, entre ellos la población humana que habita en esta regió

Predictive model of pheochromocytoma based on the imaging features of the adrenal tumours

The purpose of our study was to develop a predictive model to rule out pheochromocytoma among adrenal tumours, based on unenhanced computed tomography (CT) and/or magnetic resonance imaging (MRI) features. We performed a retrospective multicentre study of 1131 patients presenting with adrenal lesions including 163 subjects with histological confirmation of pheochromocytoma (PHEO), and 968 patients showing no clinical suspicion of pheochromocytoma in whom plasma and/or urinary metanephrines and/or catecholamines were within reference ranges (non-PHEO). We found that tumour size was significantly larger in PHEO than non-PHEO lesions (44.3 +/- 33.2 versus 20.6 +/- 9.2 mm respectively; P < 0.001). Mean unenhanced CT attenuation was higher in PHEO (52.4 +/- 43.1 versus 4.7 +/- 17.9HU; P < 0.001). High lipid content in CT was more frequent among non-PHEO (83.6% versus 3.8% respectively; P < 0.001); and this feature alone had 83.6% sensitivity and 96.2% specificity to rule out pheochromocytoma with an area under the receiver operating characteristics curve (AUC-ROC) of 0.899. The combination of high lipid content and tumour size improved the diagnostic accuracy (AUC-ROC 0.961, sensitivity 88.1% and specificity 92.3%). The probability of having a pheochromocytoma was 0.1% for adrenal lesions smaller than 20 mm showing high lipid content in CT. Ninety percent of non-PHEO presented loss of signal in the out of phase MRI sequence compared to 39.0% of PHEO (P < 0.001), but the specificity of this feature for the diagnosis of non-PHEO lesions low. In conclusion, our study suggests that sparing biochemical screening for pheochromocytoma might be reasonable in patients with adrenal lesions smaller than 20 mm showing high lipid content in the CT scan, if there are no typical signs and symptoms of pheochromocytoma

Impacts of the IUCN Red List of Ecosystems on conservation policy and practice

In 2014, the International Union for Conservation of Nature adopted the Red List of Ecosystems (RLE) criteria as the global standard for assessing risks to terrestrial, marine, and freshwater ecosystems. Five years on, it is timely to ask what impact this new initiative has had on ecosystem management and conservation. In this policy perspective, we use an impact evaluation framework to distinguish the outputs, outcomes, and impacts of the RLE since its inception. To date, 2,821 ecosystems in 100 countries have been assessed following the RLE protocol. Systematic assessments are complete or underway in 21 countries and two continental regions (the Americas and Europe). Countries with established ecosystem policy infrastructure have already used the RLE to inform legislation, land-use planning, protected area management, monitoring and reporting, and ecosystem management. Impacts are still emerging due to varying pace and commitment to implementation across different countries. In the future, RLE indices based on systematic assessments have high potential to inform global biodiversity reporting. Expanding the coverage of RLE assessments, building capacity and political will to undertake them, and establishing stronger policy instruments to manage red-listed ecosystems will be key to maximizing conservation impacts over the coming decades