Crop damage by forest elephants (Loxodonta africana cyclotis) and the resulting human-elephant conflict are issues of great concern for both the conservation of the species and the protection of ...rural livelihoods in Central Africa. Addressing these problems requires identifying the factors that facilitate or impede crop-raiding by forest elephants. Yet to date, the environmental or anthropogenic factors that influence the occurrence and intensity of crop-raiding by forest elephants are largely unknown. We used a multivariate approach to investigate conditions under which forest elephants raid some fields and not others in the buffer zone of Monts de Cristal National Park (MCNP), Gabon. We first interviewed 121 farmers from 11 villages situated within 10 km of MCNP regarding the occurrence of elephant crop-raiding of their fields. We then collected data on 39 explanatory variables to characterize the agricultural fields. Of these, the most important predictors of elephant raid occurrence of crop damage were presence of fruit trees, elephant deterrents (scarecrows, fire, wire string fences and empty barrels), and field topography. We secondly assessed the effect of stage of crop growth, presence of fruit trees, field topography and presence of elephant deterrents on crop-raiding occurrence and intensity by counting raids and measuring areas of crop damage every week in 17 plantations over 19 weeks in the most elephant-impacted zone of the study area. We found that fruit presence and stage of crop growth led to more intense damage to crops, whereas local deterrents did not inhibit raiding events and crop damage by elephants. We report a tradeoff between non-timber forest products (NTFP) services and crop-raiding by elephants. We show for the first time that steep topography impedes elephant damage to crops with no raids recorded in fields with surrounding slopes greater than 25%. We discuss whether farming on steep fields could be used as a strategy for mitigating crop-raiding to favor human-elephant coexistence and enhance elephant conservation.
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DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
More than 100 countries pledged to reduce agricultural greenhouse gas (GHG) emissions in the 2015 Paris Agreement of the United Nations Framework Convention on Climate Change. Yet technical ...information about how much mitigation is needed in the sector vs. how much is feasible remains poor. We identify a preliminary global target for reducing emissions from agriculture of ~1 GtCO2e yr−1 by 2030 to limit warming in 2100 to 2 °C above pre‐industrial levels. Yet plausible agricultural development pathways with mitigation cobenefits deliver only 21–40% of needed mitigation. The target indicates that more transformative technical and policy options will be needed, such as methane inhibitors and finance for new practices. A more comprehensive target for the 2 °C limit should be developed to include soil carbon and agriculture‐related mitigation options. Excluding agricultural emissions from mitigation targets and plans will increase the cost of mitigation in other sectors or reduce the feasibility of meeting the 2 °C limit.
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BFBNIB, FZAB, GIS, IJS, KILJ, NLZOH, NUK, OILJ, SAZU, SBCE, SBMB, UL, UM, UPUK
ABSTRACT Carnivores, often identified as keystone species, can influence prey and subordinate carnivores through density‐ and behaviourally mediated pathways. Although the magnitude of their impacts ...remains debated, carnivores may trigger successional direct and indirect ecological effects on lower trophic levels in specific contexts, commonly known as trophic cascades. Felids, as ambush predators, have great potential to impact food webs. Yet, their influence on ecosystem dynamics remains understudied. This global comprehensive literature review aimed to assess evidence for felids' ecological roles in trophic cascades across both natural and human‐dominated ecosystems. We found 61 publications that studied the influence of 18 felid species in trophic cascades. Research exhibited taxonomic and geographic biases, favouring big cats, temperate regions and biomes, as well as tropical moist forests in Central and South America. Of the studies, 23% ( n = 14) were experimental, while 77% were observational or correlative. Among the latter, 60% tested at least one alternative hypothesis and 47% examined bottom‐up processes. Despite varying levels of inference, 80% of studies provide information consistent with trophic cascades involving felids. Their examination confirmed wild cats' ability to induce density‐ and behaviourally mediated trophic cascades, thereby influencing critical biotic and abiotic processes, including mesopredator control, functional diversity maintenance, and carbon storage. The magnitude of these effects may be altered in human‐dominated landscapes, although current research effort remains too limited to draw conclusions. In conclusion, felids may act as drivers of ecosystem change, and acknowledging their ecological roles can aid in promoting their conservation. However, we encourage more strongly inferential and comprehensive investigations into felid‐mediated trophic cascades, prioritising research on small cats, felids in Asia and Africa, and the impacts of humans on trophic cascades, which can help to better inform conservation interventions and perspectives.
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BFBNIB, FZAB, GIS, IJS, KILJ, NLZOH, NUK, OILJ, SAZU, SBCE, SBMB, UL, UM, UPUK
The aim of this study was to analyze the penetration depth, angles, distribution, and location of deployment of individual EndoAnchor (Medtronic Vascular, Santa Rosa, Calif) implants.
Eighty-six ...primary and revision arm patients (procedural success, 53; persistent type IA endoleak, 33) treated for type IA endoleaks with a total of 580 EndoAnchor implants from a subset of the Aneurysm Treatment Using the Heli-FX Aortic Securement System Global Registry (ANCHOR) were included in this study. Procedural success was defined as the absence of a type IA endoleak on the first postprocedural computed tomography scan after the EndoAnchor implantation procedure. Endograft malapposition along the circumference was assessed at the first postoperative computed tomography scans and expressed as clock-face range and width in degrees and normalized such that the center was translated to 0 degrees. The position and penetration of each EndoAnchor implant were measured as the clock-face orientation. EndoAnchor implant penetration into the aortic wall was categorized as follows: good penetration, ≥2 mm; borderline penetration, <2 mm or ≥2-mm gap between the endograft and aortic wall; or no penetration. The orthogonal and longitudinal angles between the EndoAnchor implant and the interface plane of the aortic wall were determined. Location of deployment was investigated for each EndoAnchor implant and classified as maldeployed when it was above the fabric or in a gap >2 mm between the endograft and aortic wall due to >2-mm thrombus or positioning of the EndoAnchor implant below the aortic neck.
A total of 170 (29%) EndoAnchor implants had maldeployment and were therefore beyond recommended use and not useful. After EndoAnchor implantation, the procedural success and persistent type IA endoleak groups had 3 (1%) and 4 (2%) EndoAnchor implants positioned above the fabric as well as 60 (18%) and 103 (42%) placed in a gap >2 mm, respectively. The amount of EndoAnchor implants with good, borderline, and no penetration was significantly different between both groups (success vs type IA endoleak) after exclusion of maldeployed EndoAnchor implants (235 87.4%, 14 5.2%, and 20 7.4% vs 97 68.8%, 18 12.8%, and 26 18.4%, respectively; P < .001). Good penetration EndoAnchor implants were more closely aligned with a 90-degree orthogonal angle than the borderline penetration and nonpenetrating EndoAnchor implants. The longitudinal angle was more distributed, which was observed through all three penetration groups.
In this subcohort of ANCHOR patients, almost 30% of the EndoAnchor implants had maldeployment, which may be prevented by careful preoperative planning and measured intraoperative deployment. If endoleaks are due to >2-mm gaps, EndoAnchor implants alone may not provide the intended sealing, and additional devices should be considered.
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NLZOH, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UILJ, UL, UM, UPCLJ, UPUK, ZAGLJ, ZRSKP
Background The histopathological growth patterns (HGPs) are a prognostic and predictive biomarker in colorectal cancer liver metastasis (CRLM). This study evaluates the relationship between the HGP ...and primary colorectal cancer (CRC) histopathology. Methods A total of 183 treatment-naive patients with resected CRC and CRLM were included. Thirteen CRC histopathology markers were determined and compared between the desmoplastic and non-desmoplastic HGP; tumour sidedness, pT&pN stage, tumour grade, tumour deposits, perineural- (lympho-)vascular- and extramural venous invasion, peritumoural budding, stroma type, CRC growth pattern, Crohn's-like lymphoid reaction, and tumour-infiltrating lymphocyte (TIL) density. Logistic regression analysis was performed using both CRC and CRLM characteristics. Results Unfavourable CRC histopathology was more frequent in non-desmoplastic CRLM for all markers evaluated, and significantly so for a lower TIL density, absent Crohn's-like lymphoid reaction, and a "non-mature" stroma (all p < 0.03). The cumulative prevalence of unfavourable CRC histopathology was significantly higher in patients with non-desmoplastic compared to desmoplastic CRLM, with a median (IQR) of 4 (3-6) vs 2 (1-3.5) unfavourable characteristics observed, respectively (p < 0.001). Multivariable regression with 9 CRC histopathology markers and 2 CRLM characteristics achieved good discriminatory performance (AUC = 0.83). Conclusions The results of this study associates primary CRC histopathology with the HGP of corresponding liver metastases. Keywords: Histopathological growth patterns, Colorectal cancer, Colorectal liver metastasis, Histopathology, TNM classification, Tumour budding, Desmoplastic reaction, Tumour infiltrating lymphocytes, Crohn's-like lymphoid reaction
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DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
Bacteriophages are a promising therapeutic strategy among cystic fibrosis and lung-transplanted patients, considering the high frequency of colonization/infection caused by pandrug-resistant ...bacteria. However, little clinical data are available regarding the use of phages for infections with
. A 12-year-old lung-transplanted cystic fibrosis patient received two rounds of phage therapy because of persistent lung infection with pandrug-resistant
. Clinical tolerance was perfect, but initial bronchoalveolar lavage (BAL) still grew
. The patient's respiratory condition slowly improved and oxygen therapy was stopped. Low-grade airway colonization by
persisted for months before samples turned negative. No re-colonisation occurred more than two years after phage therapy was performed and imipenem treatment was stopped. Whole genome sequencing indicated that the eight
isolates, collected during phage therapy, belonged to four delineated strains, whereby one had a stop mutation in a gene for a phage receptor. The dynamics of lung colonisation were documented by means of strain-specific qPCRs on different BALs. We report the first case of phage therapy for
lung infection in a lung-transplanted patient. The dynamics of airway colonization was more complex than deduced from bacterial culture, involving phage susceptible as well as phage resistant strains.
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IZUM, KILJ, NUK, PILJ, PNG, SAZU, UL, UM, UPUK
•Secondary logging roads and skid trails are not avoided by large mammals.•In specific conditions, forest elephants and bongos are more seen on secondary roads.•Forest buffalos prefer to travel on ...secondary roads.•Gorillas and chimpanzees evenly use secondary roads, skid trails, and elephant paths.•Closing roads after logging is crucial for the protection of wildlife.
In the literature, roads are often considered to be barriers for large vertebrates. In central Africa, the creation of roads and skid trails by logging operations leads to changes in the structure of forest landscapes that could influence wildlife movements. To assess the use of logging roads by six emblematic species of the central African forests, we conducted a camera trap (CT) survey on three types of tracks (secondary roads, skid trails, and elephant paths as control) in a logging concession of south-eastern Cameroon. The relative abundance indices (RAI) of each species derived from the CT data were used in a mixed linear model to test the effects of four factors (type of track; time: day vs. night; gregariousness: alone vs. group; and time after logging: less than one year vs. between one and two years). The results showed no preference for any type of track for gorillas (Gorilla gorilla) and chimpanzees (Pan troglodytes). In contrast, significantly higher RAI on secondary roads were observed for buffalos (Syncerus caffer), forest elephants (Loxodonta cyclotis), and bongos (Tragelaphus eurycerus). For the last two, the difference was only significant if they were detected in the most recently logged areas, at night (for elephants), or alone (for bongos). We could not test for leopard (Panthera pardus) as we captured only two events. Although none of the species appear to avoid roads and skid trails, nor do they perceive them as a barrier, further studies should be conducted to increase sampling efforts over time and space to consider seasonality, vegetation growth after logging, geographical variability, and other anthropogenic influence. However, these first results reveal the importance of closing roads after logging to limit encounters between wildlife and humans and highlight the relevance of characterizing roads (type of road, width, surfacing, and canopy structure over the road) when studying their impact on wildlife.
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NLZOH, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UILJ, UL, UM, UPCLJ, UPUK, ZAGLJ, ZRSKP
There is an urgent need for new antibiotics against Gram-negative pathogens that are resistant to carbapenem and third-generation cephalosporins, against which antibiotics of last resort have lost ...most of their efficacy. Here we describe a class of synthetic antibiotics inspired by scaffolds derived from natural products. These chimeric antibiotics contain a β-hairpin peptide macrocycle linked to the macrocycle found in the polymyxin and colistin family of natural products. They are bactericidal and have a mechanism of action that involves binding to both lipopolysaccharide and the main component (BamA) of the β-barrel folding complex (BAM) that is required for the folding and insertion of β-barrel proteins into the outer membrane of Gram-negative bacteria. Extensively optimized derivatives show potent activity against multidrug-resistant pathogens, including all of the Gram-negative members of the ESKAPE pathogens
. These derivatives also show favourable drug properties and overcome colistin resistance, both in vitro and in vivo. The lead candidate is currently in preclinical toxicology studies that-if successful-will allow progress into clinical studies that have the potential to address life-threatening infections by the Gram-negative pathogens, and thus to resolve a considerable unmet medical need.
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EMUNI, FIS, FZAB, GEOZS, GIS, IJS, IMTLJ, KILJ, KISLJ, MFDPS, NLZOH, NUK, OILJ, PNG, SAZU, SBCE, SBJE, SBMB, SBNM, UKNU, UL, UM, UPUK, VKSCE, ZAGLJ
Summary Background Multicentric Castleman's disease is a rare lymphoproliferative disorder driven by dysregulated production of interleukin 6. No randomised trials have been done to establish the ...best treatment for the disease. We assessed the safety and efficacy of siltuximab—a chimeric monoclonal antibody against interleukin 6—in HIV-negative patients with multicentric Castleman's disease. Methods We did this randomised, double-blind, placebo-controlled study at 38 hospitals in 19 countries worldwide. We enrolled HIV-negative and human herpesvirus-8-seronegative patients with symptomatic multicentric Castleman's disease. Treatment allocation was randomised with a computer-generated list, with block size six, and stratification by baseline corticosteroid use. Patients and investigators were masked to treatment allocation. Patients were randomly assigned (2:1) to siltuximab (11 mg/kg intravenous infusion every 3 weeks) or placebo; all patients also received best supportive care. Patients continued treatment until treatment failure. The primary endpoint was durable tumour and symptomatic response for at least 18 weeks for the intention-to-treat population. Enrolment has been completed. The study is registered with ClinicalTrials.gov , number NCT01024036. Findings We screened 140 patients, 79 of whom were randomly assigned to siltuximab (n=53) or placebo (n=26). Durable tumour and symptomatic responses occurred in 18 (34%) of 53 patients in the siltuximab group and none of 26 in the placebo group (difference 34·0%, 95% CI 11·1–54·8, p=0·0012). The incidence of grade 3 or more adverse events (25 47% vs 14 54%) and serious adverse events (12 23% vs five 19%) was similar in each group despite longer median treatment duration with siltuximab than with placebo (375 days range 1–1031 vs 152 days 23–666). The most common grade 3 or higher were fatigue (five vs one), night sweats (four vs one), and anaemia (one vs three). Three (6%) of 53 patients had serious adverse events judged reasonably related to siltuximab (lower respiratory tract infection, anaphylactic reaction, sepsis). Interpretation Siltuximab plus best supportive care was superior to best supportive care alone for patients with symptomatic multicentric Castleman's disease and well tolerated with prolonged exposure. Siltuximab is an important new treatment option for this disease. Funding Janssen Research & Development.
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UL, UM, UPCLJ, UPUK
•Ecosystem services are perceived diversely by forest stakeholders in Cameroon.•Provisioning and cultural services are the most frequently perceived as significant.•Bushmeat provision is perceived as ...limiting for local Cameroonian populations.•Spatial and socio-demographic variables can shape perceptions of ES abundance.
In Central Africa, local populations are deeply dependent on tropical forests, which provide numerous ecosystem services (ES). For the first time in Central Africa, we assessed the perceptions of ES provided by tropical forests to local populations, considering three land allocation types: a protected area, a Forest Stewardship Council (FSC)-certified logging concession, and three community forests. We conducted a questionnaire survey with 225 forest stakeholders in southeastern Cameroon, combining an open-ended question and 16 directed questions to evaluate the perceptions of ES significance and abundance, respectively. The ES most frequently reported as significant were provisioning (93% of respondents) and cultural & amenity services (68%), whereas regulating services were less mentioned (16%). Bushmeat provision was the only ES perceived as highly significant but not very abundant. There were slight variations of perceptions among forest land allocation types and respondents, suggesting a relative homogeneity in ES abundance. For further integrative ES assessment, we suggest quantifying ES with complementary ecological and economic approaches, such as meat provision, recreation, tourism, timber provision, spiritual experience, firewood provision, water quality regulation, and inspiration for culture. We also give three concrete recommendations for forest management, the most urgent being to provide sources of protein alternative to bushmeat.
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NLZOH, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UILJ, UL, UM, UPCLJ, UPUK, ZAGLJ, ZRSKP